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Maxine Harris
NPI 1417508110 · on the registry since 2019 · sole proprietor
Practice
- Address
- 104 Martin Luther King Blvd
Arcola, MS 38722 - Phone
- (662) 827-7500
- Fax
- (662) 827-7347
- Organisation at this address
- Destiny Manor
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi