Individual
KINTRELLA SHANESE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 MICHIGAN AVE NE APT 21H, WASHINGTON, DC 20017-4303
(202) 750-8117
Mailing address
1428 PRINCESS ST APT 201, ALEXANDRIA, VA 22314-2134
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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