Individual
MS. GENIQUA M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
232 BURNETT AVE S, APT B304, RENTON, WA 98057-2107
(206) 818-5578
Mailing address
232 BURNETT AVE S, APT B304, RENTON, WA 98057-2107
(206) 818-5578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
03/21/2012
Last updated
03/24/2014
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