Individual
DEVONJA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 E CHESTER ST, JACKSON, TN 38301-7062
(731) 423-6900
(731) 214-1816
Mailing address
PO BOX 12432, JACKSON, TN 38308-0141
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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