Individual
CHARLES HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8729 S WESTERN AVE, LOS ANGELES, CA 90047-3327
(323) 750-9510
Mailing address
8729 S WESTERN AVE, LOS ANGELES, CA 90047-3327
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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