Individual
LAQUISHA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 E 15TH ST, AUSTIN, TX 78701-1437
(512) 445-7783
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
885850
TX
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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