Individual
MS. LAUREN HARNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ENTERPRISE APT 11117, ALISO VIEJO, CA 92656
(360) 338-1305
Mailing address
2 ENTERPRISE APT 11117, ALISO VIEJO, CA 92656-8018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2922
CA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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