Rosalyn Iola Harris, LPN
Licensed Vocational Nurse in Columbia, SC. Individual provider (NPI-1).
NPI number1164068771
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1164068771
- Entity type
- Individual (NPI-1)
- Name
- Rosalyn Iola Harris
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 50919 | SC | Yes |
Practice location
1421 Bluff RdColumbia, SC 29201-4809
Phone 800-805-6989
Mailing address
102 Vista WayWest Columbia, SC 29170-3054
Phone 803-521-8228
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