Individual
MS. WANDA LEE HARUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
524 SEABREEZE DR, MURRELLS INLET, SC 29576-9043
(339) 223-0103
Mailing address
524 SEABREEZE DR, MURRELLS INLET, SC 29576-9043
(339) 223-0103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1401
MA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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