Individual
ANTONIO HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5602 HELMONT DR, OXON HILL, MD 20745-3232
(240) 907-7783
Mailing address
5602 HELMONT DR, OXON HILL, MD 20745-3232
(240) 907-7783
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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