Most Relevant Information
Provider Data
| NPI Number: | 1003530254 |
| Provider Name: | KIVONDA HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2022 |
| Last Updated: | 09/30/2022 |
Provider Practice Location
8915 HARRY HINES BLVD
DALLAS
TX
752351717
Practice Location Phone/Fax
| Phone: | 4697088311 |
| Fax: |
Provider Mailing Location
8915 HARRY HINES BLVD
DALLAS
TX
752351717
Provider Mailing Phone/Fax
| Phone: | 4697087311 |
| Fax: |