Individual
MS. DELICIA RENEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 POSTMASTER DR UNIT 2382, MCDONOUGH, GA 30253-2824
(203) 491-6267
Mailing address
PO BOX 2382, MCDONOUGH, GA 30253-1734
(203) 491-6267
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN101842
GA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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