Individual
VANNESS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5630 S GARTH AVE, LOS ANGELES, CA 90056-1311
(310) 849-4048
Mailing address
5630 S GARTH AVE, LOS ANGELES, CA 90056-1311
(310) 849-4048
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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