Individual
CARLA L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7279 W CACTUS WREN DR, GLENDALE, AZ 85303-2562
(602) 358-5541
Mailing address
7279 W CACTUS WREN DR, GLENDALE, AZ 85303-2562
(602) 358-5541
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AZ
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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