Individual
TANISHA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 GROVE NECK RD, EARLEVILLE, MD 21919-3008
(443) 282-1197
Mailing address
30976 RIVER RD, MILLINGTON, MD 21651-1354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0067171
DE
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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