Doctor Name: | GAIL MONTEE HARRISS |
NPI Number: | 1962846477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA,BS |
License Number: | |
Business Practice Address: | 11650 Perris Blvd Moreno Valley, CA - 925576536 |
Business Phone Number: | 9514880404 |
Business Fax Number: | 9514880404 |
Mailing Address: | 54699 Marion View Dr., IDYLLWILD |
State: | CA |
Postal Code: | 92549 |
Phone Number: | 9516593267 |
Fax Number: | 9516593267 |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |