Khadijah D Harris
NPI #1376205849 in Mount Dora, Florida
Provider Information
- NPI Number
- 1376205849
- Entity Type
- Individual
- Name
- Khadijah D Harris
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 12, 2021
- Last Updated
- Oct 12, 2021
Practice Location
- Address
- 1316 N TREMAIN ST
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-3840
- Phone
- (352) 800-8118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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