Individual
SAMANTHA JOANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
801 BUCK ST, TIFFIN, IA 52340-9446
(319) 545-2252
Mailing address
801 BUCK ST, TIFFIN, IA 52340-9446
(319) 545-2252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
108402
IA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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