Individual
AKWELE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 E 229TH ST, APT 1A, BRONX, NY 10466-4614
(719) 671-2100
Mailing address
930 E 229TH ST, APT 1A, BRONX, NY 10466-4614
(719) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294661
NY
Other
Enumeration date
01/06/2009
Last updated
02/12/2009
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