KHADIJAH D HARRIS

MOUNT DORA, FL
NPI1376205849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: FL  CNA354739)
Enumeration Date2021-10-12
Last Update Date2021-10-12
Business Address
KHADIJAH D HARRIS
1316 N TREMAIN ST
MOUNT DORA, FL 32757-3840
Phone number: 352-800-8118
Mailing Address
KHADIJAH D HARRIS
1316 N TREMAIN ST
MOUNT DORA, FL 32757-3840
Phone number: 352-800-8118