Individual
SANDY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1604 VIDA CT, DALLAS, TX 75253-4832
(469) 713-9479
Mailing address
1604 VIDA CT, DALLAS, TX 75253-4832
(469) 713-9479
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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