Individual
MRS. STACEY HEATHER HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
845 HARLEM RD, APT 1, WEST SENECA, NY 14224-1067
(716) 604-2161
Mailing address
845 HARLEM RD, APT 1, WEST SENECA, NY 14224-1067
(716) 604-2161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
285848
NY
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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