Individual
MS. JEAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3447 CLAY ST NE, WASHINGTON, DC 20019
(202) 705-4493
Mailing address
3447 CLAY ST NE, WASHINGTON, DC 20019-1422
(202) 705-4493
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12185
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070475127
—
DC
Enumeration date
08/28/2016
Last updated
08/28/2016
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