Individual
TEONNA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 SUMMIT OAK CT APT A, HENRICO, VA 23228-6236
(269) 830-5751
Mailing address
1502 SUMMIT OAK CT APT A, HENRICO, VA 23228-6236
(269) 830-5751
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
2837246
MI
376K00000X
Nurse's Aide
1401199576
VA
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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