Individual
MR. JOSEPH HARRIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12813 FLUSHING MEADOWS DR, SUITE 140, SAINT LOUIS, MO 63131
(314) 504-2241
Mailing address
3625 NEBRASKA AVE, SAINT LOUIS, MO 63118
(314) 665-7199
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
BLS000874
MO
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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