Most Relevant Information
Provider Data
| NPI Number: | 1003176595 |
| Provider Name: | VIRGINIA SYDNESS HARRIS CSB |
| Entity Type: | Individual |
| Taxonomy Code: | 374K00000X |
| Specialty: | Religious Nonmedical Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2012 |
| Last Updated: | 05/18/2012 |
Provider Practice Location
40 GROVE ST
SUITE 150
WELLESLEY
MA
024827702
Practice Location Phone/Fax
| Phone: | 7812359350 |
| Fax: | 7812359365 |
Provider Mailing Location
40 GROVE ST
SUITE 150
WELLESLEY
MA
024827702
Provider Mailing Phone/Fax
| Phone: | 7812359350 |
| Fax: | 7812359365 |