NPI 1780429944

Rande Alexis Harris

Practitioner Prosthetist Jacksonville, FL

Practice location

Address: 8762 Mc Glothlin St, Jacksonville, FL 32210-6438
Phone: (904) 776-5966

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1780429944
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2024
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.