Individual
MEISHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 OAK SPRING LN, MANAKIN SABOT, VA 23103-3343
(804) 239-5236
Mailing address
763 OAK SPRING LN, MANAKIN SABOT, VA 23103-3343
(804) 239-5236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002374
VA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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