Individual
OCTAVIA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-2247
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-2247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
02/04/2020
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