Individual
KENYA C. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
347 LAKE ST APT A4, NEWARK, NJ 07104-1241
(973) 207-7329
Mailing address
347 LAKE ST APT A4, NEWARK, NJ 07104-1241
(973) 207-7329
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
NJ
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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