Organization
VA PALO ALTOHEALTH CARE SYSTEMS FACILITY
Active
Other names
VA Livermore Division
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON ELISE HARRIS RDA (REGISTERED DENTAL ASSISTANT)
(925) 449-6439
Entity
Organization
Contact information
Practice address
1355 AUDREY ST, TRACY, CA 95376
(209) 839-8464
Mailing address
1355 AUDREY DR, TRACY, CA 95376-3332
(209) 839-8464
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RDA1422
CA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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