Individual
DELANDA M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1922 CLARION AVE, CINCINNATI, OH 45207-1206
(502) 415-9890
Mailing address
1922 CLARION AVE, CINCINNATI, OH 45207-1206
(502) 415-9890
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400386580704
OH
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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