Individual
MS. FELICITY ALEXIS VANESSA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
2600 SAN LEANDRO BLVD APT 1702, SAN LEANDRO, CA 94578-5060
(510) 393-3118
Mailing address
2600 SAN LEANDRO BLVD APT 1702, SAN LEANDRO, CA 94578-5060
(510) 393-3118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54378
CA
Other
Enumeration date
04/24/2017
Last updated
01/03/2022
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