Individual
DAVID RANDY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
14300 CHERRY LANE CT, SUITE 213, LAUREL, MD 20707-4958
(301) 776-5200
(301) 776-4480
Mailing address
14300 CHERRY LANE CT, SUITE 213, LAUREL, MD 20707-4958
(301) 776-5200
(301) 776-4480
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO001692
MD
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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