Most Relevant Information
Provider Data
| NPI Number: | 1003010547 |
| Provider Name: | MARVA ALBERTHA HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2007 |
| Last Updated: | 02/29/2012 |
Provider Practice Location
4335 SWIFT AVE
SAN DIEGO
CA
921046613
Practice Location Phone/Fax
| Phone: | 6193585665 |
| Fax: | 6193585665 |
Provider Mailing Location
4974 EL CAJON BLVD
SUITE A
SAN DIEGO
CA
921154677
Provider Mailing Phone/Fax
| Phone: | 6192864600 |
| Fax: | 6192860060 |