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Individual

KANICA HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8449 W PARKWAY ST, DETROIT, MI 48239-1157
(313) 598-0095
(313) 274-2835
Mailing address
8449 W. PARKWAY ST, DETROIT, MI 48239-1157
(313) 598-0095
(313) 274-2835

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/02/2010
Last updated
12/01/2010
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