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Individual

SHENAE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3460 SAN FELIPE CT, PALMDALE, CA 93550
(818) 605-3357
Mailing address
3460 SAN FELIPE CT, PALMDALE, CA 93550
(818) 605-3357

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
86-1707123
CA

Other

Enumeration date
01/31/2021
Last updated
01/31/2021
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