Individual
ANTONAY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6210 BELLEFONTAINE RD, HUBER HEIGHTS, OH 45424-4009
(937) 236-1800
(937) 723-7672
Mailing address
401 OAKWOOD PL, SPRINGFIELD, OH 45506-2050
(937) 244-5186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.174677.MEDS-IV
OH
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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