Individual
DIANA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3400 SHADOW MEADOWS DR NE, RIO RANCHO, NM 87144-6711
(505) 217-4953
Mailing address
3400 SHADOW MEADOWS DR NE, RIO RANCHO, NM 87144-6711
(505) 217-4953
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
13112R
NM
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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