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Kentisha Harris

NPI 1538897194 · on the registry since 2022 · sole proprietor

Practice

Address
314 Smith Dairy Rd
Ray City, GA 31645
Phone
(585) 673-6785

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia