Individual
LISHA DARLENE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 ELM ST, CAMPBELLSVILLE, KY 42718-2406
(270) 403-5624
Mailing address
118 ELM ST, CAMPBELLSVILLE, KY 42718-2406
(270) 403-5624
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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