Individual
HEATHER ANNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSDH
Contact information
Practice address
3091 COLONIAL AVE SW # HP119, ROANOKE, VA 24015-4705
(540) 857-7206
Mailing address
4612 ETON RD SW, ROANOKE, VA 24018-1738
(540) 857-7206
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402202555
VA
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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