IndividualActive
Johnnyrhette Harris
NPI 1356739825 · Contractor · Oxon Hill, MD
Provider details
- NPI number
- 1356739825
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 44776 (MD)
Specialties & taxonomies
Other Service Providers
Practice location
1408 Fenwood Ave
Oxon Hill, MD 20745-2303
Phone: (240) 409-2135
Fax: (301) 749-7163
Approximate (ZIP-level) locationGet directions
Mailing address
1408 Fenwood Ave
Oxon Hill, MD 20745-2303
Registry dates
- Enumerated
- 2015-01-06
- Last updated
- 2015-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.