Individual
OLYMPIA TABITA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 MISSISSIPPI DR, VANCOUVER, WA 98664
(360) 694-5480
(360) 750-4892
Mailing address
7301 MISSISSIPPI DR, VANCOUVER, WA 98664
(360) 694-5480
(360) 750-4892
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
650700
WA
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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