Individual
WILLIAM HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3706 CALAVO DR, SPRING VALLEY, CA 91977-1903
(619) 578-1014
Mailing address
3706 CALAVO DR, SPRING VALLEY, CA 91977-1903
(619) 578-1240
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/30/2021
Last updated
03/16/2021
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