Individual
GINALE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13847 E 14TH ST STE 205, SAN LEANDRO, CA 94578-2626
(510) 957-6170
Mailing address
13847 E 14TH ST STE 205, SAN LEANDRO, CA 94578-2626
(510) 957-6170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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