Individual
CONETIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 CONSOLATA AVE NW, PALM BAY, FL 32907-2862
(321) 409-2761
Mailing address
237 CONSOLATA AVE NW, PALM BAY, FL 32907-2862
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 84368
FL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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