Individual
LARISA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 DIVISION ST, PORT ORCHARD, WA 98366-4511
(360) 915-3221
(360) 890-4099
Mailing address
8284 28TH CT NE STE A, LACEY, WA 98516-7161
(360) 915-3221
(360) 890-4099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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