Most Relevant Information
Provider Data
| NPI Number: | 1003810615 |
| Provider Name: | BEVERLY ANN HARRIS CEO |
| Entity Type: | Individual |
| Taxonomy Code: | 1744R1103X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2005 |
| Last Updated: | 07/25/2007 |
Provider Practice Location
8706 CONTEE RD
SUITE 13
LAUREL
MD
207081939
Practice Location Phone/Fax
| Phone: | 3014981001 |
| Fax: | 3014981001 |
Provider Mailing Location
8706 CONTEE RD
SUITE 13
LAUREL
MD
207081939
Provider Mailing Phone/Fax
| Phone: | 3014981001 |
| Fax: | 3014981001 |