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Individual

MARY E HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
14701 ROUTE 29 STE 303, CENTREVILLE, VA 20121-2135
(703) 830-4388
(703) 830-4188
Mailing address
7803 HOLMES RUN DR, FALLS CHURCH, VA 22042-3320
(703) 598-4756

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024187850
VA

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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