Individual
BRENDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 LONGBOW CT, BRYANS ROAD, MD 20616-6022
(301) 509-6643
Mailing address
2600 LONGBOW CT, BRYANS ROAD, MD 20616-6022
(301) 509-6643
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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