Jeanette Necole Harris, IDMT

NPI #1013225283 in Patrick Afb, Florida

Provider Information

NPI Number: 1013225283
Entity Type: Individual
Name: Jeanette Necole Harris, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Sep 21, 2010
Last Updated: Sep 21, 2010

Practice Location

Address: 1381 S PATRICK DR
City: Patrick Afb
State: Florida
ZIP Code: 32925-3606
Phone: (321) 494-8191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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