Individual
LADD HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
1020 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4838
(850) 916-8650
Mailing address
486 E 9270 S, SANDY, UT 84070-6240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003966
NC
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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