Organization
TELE-PEDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISHA HARRIS NP (CO-FOUNDER)
(757) 667-8898
Entity
Organization
Contact information
Practice address
1704 LLANO ST STE B, SANTA FE, NM 87505-5415
(757) 667-8898
Mailing address
1704 LLANO ST, STE B - POB: 1414, SANTA FE, NM 87505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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