Individual
MIA HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
439 W MAPLE AVE, NEWARK, NY 14513-2062
(315) 332-3328
Mailing address
2980 FRESHOUR RD, CANANDAIGUA, NY 14424-9539
(585) 478-5556
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
751030
NY
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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