Individual
RICKEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2789 JEFFERSON ST APT 702, ROCK CREEK, OH 44084-8603
(440) 969-5440
Mailing address
2789 JEFFERSON ST APT 702, ROCK CREEK, OH 44084-8603
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SU063048
OH
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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