Individual
MR. WILLIE ESAU HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
6248 W AVENUE J11, LANCASTER, CA 93536-1716
(666) 943-0021
(661) 943-9877
Mailing address
6248 W AVENUE J11, LANCASTER, CA 93536-1716
(666) 943-0021
(661) 943-9877
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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