Individual
PATRICK JOSEPH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1604 PALMALES CT, LAS VEGAS, NV 89128-3236
(702) 631-7311
Mailing address
1604 PALMALES CT, LAS VEGAS, NV 89128-3236
(702) 631-7311
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005051899
—
NV
Enumeration date
09/14/2010
Last updated
09/14/2010
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