Individual
MS. ROXANNE DENISE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1729 W 33RD ST, B, EDMOND, OK 73013-3835
(405) 216-5608
(405) 216-5282
Mailing address
1308 NE 43RD ST, OKLAHOMA CITY, OK 73111-5853
(405) 819-9473
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123000A
—
OK
Enumeration date
06/03/2010
Last updated
06/03/2010
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