Individual
MARSHAYA S HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3637 PINNATE DR, LAS VEGAS, NV 89147-3750
(702) 881-3866
Mailing address
3637 PINNATE DR, LAS VEGAS, NV 89147-3750
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402218329
NEVADA ID
—
Enumeration date
08/19/2019
Last updated
08/19/2019
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