Individual
KENDRA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3630 BROTHERS PL SE APT 203, WASHINGTON, DC 20032-1575
(202) 704-2874
Mailing address
3430 BROTHERS PLACE SE, WASHINGTON, DC 20032
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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