Individual
AVROHOM HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
6523 52ND AVE S, SEATTLE, WA 98118-3401
(856) 291-1873
Mailing address
6523 52ND AVE S, SEATTLE, WA 98118-3401
(856) 291-1873
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
LSC054
ZZ
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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