Individual
STANLEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1513 QUEEN ST NE, WASHINGTON, DC 20002-2523
(202) 746-1479
Mailing address
1513 QUEEN ST NE, WASHINGTON, DC 20002-2523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT366
DC
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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