Individual
CORY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD/DBA
Contact information
Practice address
4904 LAKE VISTA DR, BENTON, AR 72019-6024
(432) 770-0385
Mailing address
4904 LAKE VISTA DR, BENTON, AR 72019-6024
(432) 770-0385
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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