Individual
ANDRE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 272-4783
Mailing address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 272-4783
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
828029
CA
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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