Individual
ROCKITA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8050 TERRY ST, PHILADELPHIA, PA 19136-2612
(267) 303-2474
Mailing address
8050 TERRY ST, PHILADELPHIA, PA 19136-2612
(267) 303-2474
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN293361
PA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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