Individual
VICKIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N BELL AVE STE 260, CARNEGIE, PA 15106-4301
(412) 458-1808
Mailing address
600 N BELL AVE STE 260, CARNEGIE, PA 15106-4301
(412) 458-1808
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
41036301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036614440001
—
PA
Enumeration date
07/27/2020
Last updated
07/27/2020
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