Individual
DR. DIANNE YVONNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, SGCXE, TRAVIS AFB, CA 94535-1809
(707) 423-7165
Mailing address
5164 BASS CT, FAIRFIELD, CA 94534-6621
(707) 344-6730
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
G064099
CA
Other
Enumeration date
07/17/2006
Last updated
02/11/2022
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