Individual
MYNIQUA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 LEXINGTON AVE, DAYTON, OH 45402-5605
(513) 646-2349
Mailing address
1002 LEXINGTON AVE, DAYTON, OH 45402-5605
(513) 646-2349
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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