Individual
THADDEUS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 CEDAR ST SE, WASHINGTON, DC 20020-5011
(202) 678-3177
Mailing address
3109 ALTAIR LN, UPPER MARLBORO, MD 20774-3545
(204) 455-3422
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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