Individual
DEQUANTALIZA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 ELMVIEW DR, HOUSTON, TX 77080-7222
(512) 787-6185
Mailing address
1617 ELMVIEW DR, HOUSTON, TX 77080-7222
(512) 787-6185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
939790
TX
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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