Individual
RODERICK TIRELL HARRIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6117 CUSHING ST, SUFFOLK, VA 23435-3440
(757) 724-4605
(757) 967-0606
Mailing address
6117 CUSHING ST, SUFFOLK, VA 23435-3440
(757) 724-4605
(757) 967-0606
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T61549889
VA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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