Mya Latrice Harris
NPI #1447872106 in Fort Irwin, California
Provider Information
- NPI Number
- 1447872106
- Entity Type
- Individual
- Name
- Mya Latrice Harris
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Enumeration Date
- May 15, 2020
- Last Updated
- May 15, 2020
Practice Location
- Address
- 4TH AND INNER LOOP ROAD
- Address 2
- BLDG 171
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310
- Phone
- (719) 526-5537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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