Individual
DAMAREA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4825 GAVIOTA AVE, LONG BEACH, CA 90807-1209
(213) 809-1538
Mailing address
4825 GAVIOTA AVE, LONG BEACH, CA 90807-1209
(213) 809-1538
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
CA
374K00000X
Religious Nonmedical Practitioner
—
CA
374T00000X
Religious Nonmedical Nursing Personnel
—
CA
374U00000X
Home Health Aide
Primary
—
CA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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