Individual
KENTISHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 SMITH DAIRY RD, RAY CITY, GA 31645-3775
(585) 673-6785
Mailing address
314 SMITH DAIRY RD, RAY CITY, GA 31645-3775
(585) 673-6785
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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