Individual
BRYANT HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1345 W 105TH ST UNIT 320, LOS ANGELES, CA 90044-1797
(310) 991-0235
(323) 305-2560
Mailing address
1345 W 105TH ST UNIT 320, LOS ANGELES, CA 90044-1797
(310) 991-0235
(323) 305-2560
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
Primary
316781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316781
CALIFORNIA BOARD OF REGISTERED NURSES
CA
01
—
A3676907
CALIFORNIA DEPT MOTOR VEH
CA
Enumeration date
05/15/2019
Last updated
05/15/2019
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