Individual
KELLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9266 LOUIS, REDFORD, MI 48239-1732
(313) 318-3223
Mailing address
9266 LOUIS, DETROIT, MI 48239-1732
(313) 318-3223
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
H620465067432
MI
Other
Enumeration date
01/01/2017
Last updated
01/01/2017
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