Individual
DOROTHY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO22915
AZ
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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