Individual
ANDREW ALFRED HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
5475 WALNUT AVE, CHINO, CA 91710-2609
(909) 591-6446
(909) 591-3909
Mailing address
5475 WALNUT AVE, CHINO, CA 91710-2609
(909) 591-6446
(909) 591-1309
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20100
CA
Other
Enumeration date
02/18/2009
Last updated
07/22/2009
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