Individual
SAMUEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
11008 DOUBLE EAGLE NE, ALBUQUERQUE, NM 87111-6559
(505) 440-5498
Mailing address
11008 DOUBLE EAGLE NE, ALBUQUERQUE, NM 87111-6559
(505) 440-5498
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN-79113
NM
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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