Individual
XAVIER KEITH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
2495 PINE AVE, LONG BEACH, CA 90806-3029
(562) 544-8137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95247553
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95247553
CA
Other
Enumeration date
05/18/2021
Last updated
05/08/2026
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