Individual
JOEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
496 ELM ST, PAINESVILLE, OH 44077-4063
(440) 494-4105
Mailing address
496 ELM ST, PAINESVILLE, OH 44077
(440) 494-4105
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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