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Monyette Kathleen Harris
Clinic/Center in San Diego, California
NPI 1063698736

Monyette Kathleen Harris is a Clinic/Center based in San Diego, CA. Monyette Kathleen Harris practices in San Diego, CA. The NPI Number for Monyette Kathleen Harris is 1063698736 and holds a License No. 261QR0405X (California).

The current practice location address for Monyette Kathleen Harris is 6154 Mission Gorge Rd Ste 120, San Diego, CA and can be reached out via phone at 619-285-1718 and via fax at 619-285-3803.

Location: 6154 Mission Gorge Rd Ste 120, San Diego, CA, 92120-3435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063698736
Provider Name
Monyette Kathleen Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
6154 Mission Gorge Rd Ste 120, San Diego, CA, 92120-3435
Phone Number
619-285-1718
Fax Number
619-285-3803
Provider Enumeration Date
01/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37AL 05 CA
institution
Provider Business Practice Location Address Details
Address
6154 Mission Gorge Rd Ste 120
City
San Diego
State
California
Zip
92120-3435
Phone Number
619-285-1718
Fax Number
619-285-3803
person
Provider Business Mailing Address Details
Address
6154 Mission Gorge Rd Ste 120
City
San Diego
State
California
Zip
92120-3435
Phone Number
619-285-1718
Fax Number
619-285-3803
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
261QR0405X (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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