Individual
MS. ALTHEA JACQUELINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
87 BRONX AVE, 2ND. FL, BRIDGEPORT, CT 06606-4604
(203) 685-6093
(203) 612-1852
Mailing address
87 BRONX AVE, 2ND. FL, BRIDGEPORT, CT 06606-4604
(203) 685-6093
(203) 612-1852
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292335-1
NY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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