Tony Ray Harris SR. LPN

NPI 1225332935 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1225332935
Gender Male
Enumeration Date 01/10/2011
Last Updated 01/10/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
294 ROSLYN ST
ROCHESTER NY, 14619-1844, US
Phone (585) 436-9782
Fax
Business Location
294 ROSLYN ST
ROCHESTER NY, 14619-1844, US
Phone (585) 436-9782
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 301356-1
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According to our database, Mr. Tony Ray Harris SR. LPN NPI is 1225332935, taxonomy code is 164W00000X and license number is 301356-1, license state is located at New York. Tony Ray Harris SR. LPN physically located at 294 Roslyn St, Rochester NY, 14619-1844. NPI Number Tony Ray Harris SR. LPN has the Individual type.

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1225332935 NPI number is provided on an as is basis without warranty of any kind. 1225332935 is maintained by the National Plan & Provider Enumeration System. The contents of Tony Ray Harris SR. LPN are for informational purposes only.