Provider Demographics
NPI:1447953567
Name:HARRIS, CONTRINA DELORIS
Entity type:Individual
Prefix:
First Name:CONTRINA
Middle Name:DELORIS
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3418 READING RD APT 206
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3177
Mailing Address - Country:US
Mailing Address - Phone:513-370-9837
Mailing Address - Fax:
Practice Address - Street 1:3418 READING RD APT 206
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3177
Practice Address - Country:US
Practice Address - Phone:513-370-9837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health