Individual
MELISSA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 E 1450 N, APT 158, BOUNTIFUL, UT 84010-4567
(801) 628-2120
Mailing address
313 E 1450 N, APT 158, BOUNTIFUL, UT 84010
(801) 628-2120
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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