Individual
MARY THERESA HARMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
7015 HWY 190 E SERV RD, COVINGTON, LA 70433-4960
(985) 809-1997
(985) 809-1664
Mailing address
341 STONEHAVEN DR, MANDEVILLE, LA 70471-1118
(985) 626-6937
(985) 809-1664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036928
LA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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