Individual
SHAWNQUIES HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 S ARCHIBALD AVE STE F, ONTARIO, CA 91761-9202
(310) 866-5245
Mailing address
2920 S ARCHIBALD AVE STE F, ONTARIO, CA 91761-9202
(310) 866-5245
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
A356009
CA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
09/21/2023
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