Individual
RUTH MAE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 SOCONY ST, AUGUSTA, KS 67010-1945
(910) 364-7794
Mailing address
1511 SOCONY ST, AUGUSTA, KS 67010-1945
(910) 364-7794
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
73124
KS
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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