Theresa Dawn Harris

Individual provider Active NPI Case Manager/Care Coordinator · Frazier Park, CA

NPI 1427189596 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1427189596
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3717 Mt Pinos Way
Frazier Park, CA 93225
Phone
(661) 245-0250
Fax
(661) 245-0252
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3717 Mt Pinos Way
Frazier Park, CA 93225

Mailing address

PO Box 1559
Attention Ann Lee Clinica Sierra Vista
Bakersfield, CA 93302-1559
Phone (661) 635-3050

Other providers in Frazier Park, CA

All providers in Frazier Park, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.