Individual
MRS. JOAN M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
670 RIVERSIDE DRIVE, OMAK, WA 98841
(509) 846-1000
(509) 846-1005
Mailing address
PO BOX 1438, OMAK, WA 98841-1438
(509) 846-1000
(509) 846-1005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60083311
WA
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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