Individual
TAYLOR HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 N 9TH ST STE C, MODESTO, CA 95350-5814
(209) 558-4598
Mailing address
3412 DANBURY CT, MODESTO, CA 95350-0917
(909) 838-0001
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95332308
CA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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