Individual
DEQUINTE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 FRANCIS ST, PORTSMOUTH, VA 23702-1852
(757) 372-2542
Mailing address
112 FRANCIS ST, PORTSMOUTH, VA 23702-1852
(757) 372-2542
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T61557011
—
VA
Enumeration date
12/06/2022
Last updated
12/06/2022
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