Individual
SUMMER M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 NORTH DIVISION, JBLM, WA 98433
(253) 967-3416
Mailing address
2103 NORTH DIVISION, JBLM, WA 98433
(253) 967-3416
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
WA
126800000X
Dental Assistant
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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