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Individual

KIVIETTE GRAY HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1712 MASS AVE SE, WASHINGTON, DC 20003-1638
(202) 277-1858
Mailing address
8744 RITCHBORO RD, DISTRICT HEIGHTS, MD 20747-2631
(202) 277-1858

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/04/2025
Last updated
08/05/2025
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