Individual
DARIA LYNN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8 E DEPEW AVE APT 3, BUFFALO, NY 14214-1835
(716) 984-6243
Mailing address
8 E DEPEW AVE APT 3, PO BOX 104 AMHERST NY, 14226, BUFFALO, NY 14214-1835
(716) 984-6243
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292533
—
NY
Enumeration date
06/19/2012
Last updated
06/19/2012
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