Individual
KRISTI HARLESS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
5118 NAIRN LN, CHESTER, VA 23831-6550
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000675
VA
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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