Individual
KHANIYNAH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NEW JERSEY AVE SE STE 845, WASHINGTON, DC 20003-3338
(202) 545-6980
Mailing address
125 S REYNOLDS ST APT J504, ALEXANDRIA, VA 22304-3121
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008443
DC
Other
Enumeration date
08/19/2020
Last updated
08/20/2020
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