MS. Teresa Suzanne Harless
NPI #1548303258 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1548303258
- Entity Type
- Individual
- Name
- MS. Teresa Suzanne Harless
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1024 RIVERMET AVE
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-4231
- Phone
- (260) 426-2118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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