Provider Demographics
NPI:1962483628
Name:HARKINS, PATRICIA BAILEY (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:BAILEY
Last Name:HARKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:LEE
Other - Last Name:HARKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2819 W AVE K 12
Mailing Address - Street 2:#178
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536
Mailing Address - Country:US
Mailing Address - Phone:661-722-8147
Mailing Address - Fax:
Practice Address - Street 1:1672 W AVE J
Practice Address - Street 2:SUITE 204
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2861
Practice Address - Country:US
Practice Address - Phone:661-948-2304
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC11918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor