MR. Michael Dale Harless

NPI #1710120613 in Hudson, Florida

Provider Information

NPI Number: 1710120613
Entity Type: Individual
Name: MR. Michael Dale Harless
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Apr 8, 2009
Last Updated: Apr 8, 2009

Practice Location

Address: 11836 LAKEWOOD DR
City: Hudson
State: Florida
ZIP Code: 34669
Phone: (727) 379-9663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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