Individual
MR. CLARENCE VAN HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40015 SIERRA HWY, PALMDALE, CA 93550-2101
(661) 526-5061
Mailing address
40015 SIERRA HWY, PALMDALE, CA 93550-2101
(661) 526-5061
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
10/01/2020
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