Individual
MARY SUSAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6825 W RUSSELL RD STE 170, LAS VEGAS, NV 89118-1892
(702) 896-8400
Mailing address
6825 W RUSSELL RD STE 170, LAS VEGAS, NV 89118-1892
(702) 762-9905
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RC1869
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC1869
RT LICENSE
NV
Enumeration date
05/18/2022
Last updated
05/18/2022
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