Individual
MRS. BONNIE JEAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.N., R.N
Contact information
Practice address
7600 5TH AVE SE, LACEY, WA 98503-1521
(360) 412-4773
Mailing address
7600 5TH AVE SE, LACEY, WA 98503-1521
(360) 412-4773
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60302804
WA
Other
Enumeration date
05/19/2014
Last updated
11/19/2014
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