Individual
ELETHEA GEORGE LOCKE-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2251 N HARBOR BLVD, FULLERTON, CA 92835-2601
(714) 449-6230
Mailing address
161 FORT WASHINGTON AVE, 9TH FLOOR, NEW YORK, NY 10032-3729
(212) 305-4076
(212) 305-8560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011229-1
NY
363A00000X
Physician Assistant
Primary
22263
CA
Other
Enumeration date
03/02/2007
Last updated
03/22/2018
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