Individual
DECEMBER HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 BROOKFIELD DR, MEDINA, OH 44256-2881
(828) 208-3900
Mailing address
1059 BROOKFIELD DR, MEDINA, OH 44256-2881
(828) 208-3900
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
03/29/2024
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