| NPI | 1992559355 |
|---|---|
| Former Name | GARY MICHAEL HARRIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |