Individual
DEVONA RENEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BERDAN AVE, TOLEDO, OH 43613-5031
(419) 265-5887
Mailing address
2011 BERDAN AVE, TOLEDO, OH 43613-5031
(419) 265-5887
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401755140515
OH
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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