Provider Demographics
NPI:1902614803
Name:HARRIS, DEVOSHAR RASHALE I
Entity type:Individual
Prefix:
First Name:DEVOSHAR
Middle Name:RASHALE
Last Name:HARRIS
Suffix:I
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 1:434 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-3331
Mailing Address - Country:US
Mailing Address - Phone:916-342-7454
Mailing Address - Fax:
Practice Address - Street 1:1135 TERMINAL WAY STE 208
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2168
Practice Address - Country:US
Practice Address - Phone:775-686-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide