Individual
MS. MONIQUE MARIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
8917 NE 161ST PLACE, VANCOUVER, WA 98682-0700
(360) 721-0413
Mailing address
8917 NE 161ST PLACE, VANCOUVER, WA 98682-0700
(360) 721-0413
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 60069906
WA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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