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Individual

MISS CARLA RENEE' HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
6817 MILL SPRINGS CT, STOCKTON, CA 95219-3223
(209) 688-7699
Mailing address
6817 MILL SPRINGS CT, STOCKTON, CA 95219-3223
(209) 688-7699

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN 204582
CA

Other

Enumeration date
07/12/2010
Last updated
07/12/2010
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