Individual
NICOLAS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 S B ST, TUSTIN, CA 92780-4318
(714) 832-4041
(714) 832-4127
Mailing address
630 S B ST, TUSTIN, CA 92780-4318
(714) 832-4041
(714) 832-4127
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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