Individual
BRENDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, LAC
Contact information
Practice address
309 WEST BROADWAY STREET, DECORAH, IA 52101
(563) 382-9309
Mailing address
309 WEST BROADWAY STREET, DECORAH, IA 52101
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0083
OR
Other
Enumeration date
02/27/2007
Last updated
07/01/2015
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