Individual
LETRICE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRICHOLOGY
Contact information
Practice address
6851 167TH ST STE 5, TINLEY PARK, IL 60477-2501
(773) 710-8893
Mailing address
7146 183RD ST STE 181, TINLEY PARK, IL 60477-3933
(773) 710-8893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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