Individual
MR. JEFFERY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 WESTWOOD ST APT A, MOBILE, AL 36606-6505
(251) 513-5778
Mailing address
405 WESTWOOD ST APT A, MOBILE, AL 36606-6505
(251) 513-5778
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
6988997
AL
374700000X
Technician
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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