Individual
BRENDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 ILION AVE N, MINNEAPOLIS, MN 55411-1921
(612) 521-9066
Mailing address
2225 ILION AVE N, MINNEAPOLIS, MN 55411-1921
(612) 521-9066
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
374U00000X
MN
376J00000X
Homemaker
Primary
376J00000X
MN
Other
Enumeration date
04/05/2016
Last updated
04/20/2016
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