Individual
MS. GLORIA JEAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
506 AMANTHA AVE., COMPTON, CA 90220-3413
(562) 208-2511
Mailing address
506 AMANTHA AVE., COMPTON, CA 90220-3413
(562) 208-2511
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN213702
CA
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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