Althea Jacqueline Harris LPN

NPI 1457626707 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1457626707
Gender Female
Enumeration Date 03/20/2012
Last Updated 03/20/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
87 BRONX AVE
2ND. FL
BRIDGEPORT CT, 06606-4604, US
Phone (203) 685-6093
Fax (203) 612-1852
Business Location
87 BRONX AVE
2ND. FL
BRIDGEPORT CT, 06606-4604, US
Phone (203) 685-6093
Fax (203) 612-1852
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 292335-1
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According to our database, Ms. Althea Jacqueline Harris LPN NPI is 1457626707, taxonomy code is 164W00000X and license number is 292335-1, license state is located at New York. Althea Jacqueline Harris LPN physically located at 87 Bronx Ave, Bridgeport CT, 06606-4604. NPI Number Althea Jacqueline Harris LPN has the Individual type.

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1457626707 NPI number is provided on an as is basis without warranty of any kind. 1457626707 is maintained by the National Plan & Provider Enumeration System. The contents of Althea Jacqueline Harris LPN are for informational purposes only.