Individual
SOMER JEAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
622 N 260 W, VINEYARD, UT 84059-4821
(651) 242-7664
Mailing address
622 N 260 W, VINEYARD, UT 84059-4821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1224420533102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
943593696
MEDICA
MN
Enumeration date
08/15/2022
Last updated
08/15/2022
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