Individual
SHARON B. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
42121 US HWY 70, PORTALES, NM 88130-9347
(575) 356-6652
(575) 226-0099
Mailing address
PO BOX 299, PORTALES, NM 88130-9347
(575) 356-6652
(575) 226-0099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
072
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000H5509
—
NM
05
—
H5509
—
NM
Enumeration date
05/17/2006
Last updated
11/26/2012
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