Individual
THERESA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W ELLIOTT ST, SAINT IGNACE, MI 49781-1868
(906) 643-8616
(906) 643-7194
Mailing address
114 W ELLIOTT ST, SAINT IGNACE, MI 49781-1868
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704307673
MI
Other
Enumeration date
04/24/2020
Last updated
12/04/2024
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