Individual
KATHERINE ELISE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9203 ESTACIA ST, RANCHO CUCAMONGA, CA 91730
(909) 519-3638
Mailing address
9203 ESTACIA ST, RANCHO CUCAMONGA, CA 91730-2505
(909) 519-3638
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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