Individual
MISS KATHRYN ANNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 407-1220
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 407-1220
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18664
CA
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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