Individual
MS. RONDA LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN LMT
Contact information
Practice address
2913 INGERSOLL AVE, DES MOINES, IA 50312-4014
(515) 710-5930
(515) 274-8732
Mailing address
2913 INGERSOLL AVE, DES MOINES, IA 50312-4014
(515) 710-5930
(515) 274-8732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00999
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00999
IA DEPT PUBLIC HEALTH
IA
Enumeration date
05/08/2007
Last updated
07/08/2007
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