Individual
TAUTTEAONNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 MAIN ST STE 101, PLACERVILLE, CA 95667-5752
(916) 279-2794
Mailing address
629 MAIN ST STE 101, PLACERVILLE, CA 95667-5752
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/27/2025
Last updated
08/26/2025
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