Individual
SAMUEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1829 CASA VERDE DR, NORTH LAS VEGAS, NV 89031-5511
(702) 636-0337
Mailing address
1829 CASA VERDE DR, NORTH LAS VEGAS, NV 89031-5511
(702) 636-0337
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1403351346
NV
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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