Individual
MS. LATASHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612
(919) 727-7709
Mailing address
PO BOX 13018, RALEIGH, NC 27605-3018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8926
NC
Other
Enumeration date
01/13/2021
Last updated
08/04/2022
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