Kivonda Harris

NPI #1003530254 in Dallas, Texas

Provider Information

NPI Number: 1003530254
Entity Type: Individual
Name: Kivonda Harris
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Sep 30, 2022
Last Updated: Sep 30, 2022

Practice Location

Address: 8915 HARRY HINES BLVD
City: Dallas
State: Texas
ZIP Code: 75235-1717
Phone: (469) 708-8311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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