Provider Demographics
NPI:1851581417
Name:BOOKER-HARRIS, SABRINA MICHELLE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:MICHELLE
Last Name:BOOKER-HARRIS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 W KEARNEY BLVD
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-2706
Mailing Address - Country:US
Mailing Address - Phone:559-704-1525
Mailing Address - Fax:
Practice Address - Street 1:1630 W KEARNEY BLVD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-2706
Practice Address - Country:US
Practice Address - Phone:559-704-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA182726164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse