Individual
MR. ROBERT EUGENE HARRIS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
620 N CAROLINE ST, BALTIMORE, MD 21205-1839
(410) 396-0176
Mailing address
620 N CAROLINE ST, BALTIMORE, MD 21205-1839
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
R220970
MD
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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