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Individual

KAITLIN HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 348-1850
Mailing address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 956-0091

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Y2818268
CA
373H00000X
Day Training/Habilitation Specialist
Primary
Y2818268
CA

Other

Enumeration date
04/15/2024
Last updated
05/19/2025
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