Individual
ANDREA L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 MARGARET LN, GRASS VALLEY, CA 95945-5211
(530) 274-9623
(530) 274-0590
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G78196
CA
Other
Enumeration date
08/25/2006
Last updated
07/11/2023
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