Individual
AUGUSTINE NICOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 W LABURNUM AVE, RICHMOND, VA 23227-4520
(757) 707-5635
Mailing address
7840 MARYLAND AVE, WEST POINT, VA 23181-9466
(757) 707-5635
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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