Individual
SALLY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2732 GAZING STARS ST, NORTH LAS VEGAS, NV 89030-4773
(702) 602-3694
Mailing address
3171 W HORN RD, PAHRUMP, NV 89048-5041
(775) 253-0528
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
—
NV
211D00000X
Podiatric Assistant
—
NV
246ZC0007X
Surgical Assistant
Primary
—
NV
246ZX2200X
Orthopedic Assistant
—
NV
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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