Individual
MONYETTE KATHLEEN HARRIS
Active
Individual
MONYETTE KATHLEEN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QR0405X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37AL
—
CA
Enumeration date
01/12/2008
Last updated
01/12/2008
Update your record
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