Individual
MR. TRACY L. HARRIS
Active
Individual
MR. TRACY L. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550000104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000104
DBA - AVALON HOSPICE & PALLIATIVE CARE
CA
05
—
HPC01791F
—
CA
Enumeration date
08/31/2012
Last updated
09/10/2012
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