Individual
DEANNA SHELBY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9742 RASPBERRY ICE LN, LA MESA, CA 91941-6878
(619) 252-1455
Mailing address
9742 RASPBERRY ICE LN, LA MESA, CA 91941-6878
(619) 252-1455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020276
CA
Other
Enumeration date
04/26/2022
Last updated
04/27/2022
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