DETRA DASHAWN HARRISON

PHOENIX, AZ
NPI1467318097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  328764)
Enumeration Date2025-12-29
Last Update Date2025-12-29
Business Address
DETRA DASHAWN HARRISON
1701 E COLTER ST UNIT 285
PHOENIX, AZ 85016-3379
Phone number: 330-564-6154
Mailing Address
DETRA DASHAWN HARRISON
1701 E COLTER ST UNIT 285
PHOENIX, AZ 85016-3379
Phone number: