Individual
BEVERLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 WICKER CT, CLIO, MI 48420-8285
(313) 595-5388
Mailing address
4131 WICKER CT, CLIO, MI 48420-8285
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703057447
MI
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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