Individual
COLLEEN ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3327 ROSECRANS ST, SAN DIEGO, CA 92110-4223
(619) 225-9691
Mailing address
3327 ROSECRANS ST, SAN DIEGO, CA 92110-4223
(803) 319-4935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021856
CA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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