Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | PA58672 | CA |
NPI | 1013516996 |
---|---|
Provider Name | Natasha Harmis |
First Address | Chula Vista, CA 91910-5736 |
Second Address | El Cajon, CA 92019-3776 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2020 |
Last Update Date | 21/10/2020 |