Individual
MRS. ELNORA KENDRICK HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 GROVE SQ, RANDOLPH, MA 02368-4028
(781) 986-9933
Mailing address
8 GROVE SQ, RANDOLPH, MA 02368-4028
(781) 986-9933
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
66932
MA
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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