Harris, Mya Latrice

Harris, Mya Latrice is an individual health care provider with primary practice located at 4Th And Inner Loop Road Bldg 171, Fort Irwin CA 92310. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Harris, Mya Latrice can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
4Th And Inner Loop Road Bldg 171 Fort Irwin CA 92310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1447872106
LBN Legal business name Harris, Mya Latrice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2020
Last updated May 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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