MR. Justin Ray Harris SR., SFIDC

NPI #1093923872 in Norfolk, Virginia

Provider Information

NPI Number: 1093923872
Entity Type: Individual
Name: MR. Justin Ray Harris SR., SFIDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: SFIDC
Enumeration Date: May 18, 2007
Last Updated: Jun 22, 2012

Practice Location

Address: 581 'A' STREET
City: Norfolk
State: Virginia
ZIP Code: 23511-2133
Phone: (757) 443-0026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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