Individual
OMAR HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9802 HOSIER ST UNIT C, NEWPORT NEWS, VA 23601-4219
(757) 772-6300
Mailing address
26 RIVER POINTE DR S, PORTSMOUTH, VA 23703-5451
(305) 812-9108
(855) 441-4642
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A61768526
VA
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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