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Individual

KIMONI ALEXIS HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1395 CONGRESS ST SE, WASHINGTON, DC 20032-5077
(202) 983-9263
Mailing address
819 ALABAMA AVE SE, WASHINGTON, DC 20032-4246
(202) 717-0048

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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Product
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