Individual
KIM D HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
258 A STREET, SUITE 1, #22, ASHLAND, OR 97520-1947
(310) 717-6820
Mailing address
258 A STREET, SUITE 1, #22, ASHLAND, OR 97520-1947
(310) 717-6820
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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