Individual
KIMBERLY DYAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
143 N MCCORMICK ST, SUITE 102, PRESCOTT, AZ 86301-2723
(928) 277-7414
Mailing address
143 N MCCORMICK ST, SUITE 102, PRESCOTT, AZ 86301-2723
(928) 277-7414
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
13-1393
AZ
Other
Enumeration date
02/19/2014
Last updated
10/11/2016
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