Individual
KRISTINA M. HARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18042 W MORNING VISTA LN, SURPRISE, AZ 85387-6377
(602) 708-7105
Mailing address
18042 W MORNING VISTA LN, SURPRISE, AZ 85387-6377
(602) 708-7105
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
455928
AZ
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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