Jackie Harris
NPI #1790390342 in Davisville, West Virginia
Provider Information
- NPI Number
- 1790390342
- Entity Type
- Individual
- Name
- Jackie Harris
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 10, 2020
- Last Updated
- Sep 10, 2020
Practice Location
- Address
- 193 SOUTHRIDGE RD
- City
- Davisville
- State
- West Virginia
- ZIP Code
- 26142-8918
- Phone
- (304) 494-8374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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