Individual
RUTH MARION HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, PHD
Contact information
Practice address
51 HARRIS ROAD, KILMARNOCK, VA 22482
(804) 435-0575
Mailing address
8 CORNER OAK CIR, IRVINGTON, VA 22480-2402
(410) 375-7738
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001211992
VA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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