Individual
KAWANZA KAMILL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N HAMPTON RD, DESOTO, TX 75115-4975
(469) 612-4103
Mailing address
502 N HAMPTON RD, DESOTO, TX 75115-4975
(469) 612-4103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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