Individual
JAVONTE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 E 5TH ST, HASTINGS, NE 68901-5228
(402) 601-4862
Mailing address
106 E 5TH ST, HASTINGS, NE 68901-5228
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
98357
NE
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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