Individual
MYESA HARRIS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 S CAPITOL ST SE, WASHINGTON, DC 20032-1342
(202) 766-6418
Mailing address
12669 TOBYTOWN DR, POTOMAC, MD 20854-6019
(240) 422-3698
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
A00190907
MD
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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