Individual
MISS LATASHA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA
Contact information
Practice address
5529 WHITBY RD, BALTIMORE, MD 21206-3819
(443) 850-5701
Mailing address
5529 WHITBY RD, BALTIMORE, MD 21206-3819
(443) 850-5701
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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