Individual
FREDRICK LAMONT HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 BELAIRE, BENTON, AR 72015-3842
(501) 365-6825
Mailing address
720 BELAIRE, BENTON, AR 72015-3842
(501) 365-6825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/30/2025
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