Individual
MARTIN MERRIEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
306 5TH ST, CLARKSTON, WA 99403-1860
(208) 305-5060
Mailing address
1907 BIRCH DR, LEWISTON, ID 83501-6012
(208) 305-5060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 60303118
WA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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