Individual
JAZMIN TATYANA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 WINCHESTER AVE, MARTINSBURG, WV 25401-1683
(304) 290-4262
(304) 212-0627
Mailing address
PO BOX 442, SHEPHERDSTOWN, WV 25443-0442
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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