Provider Demographics
NPI:1295528032
Name:HARRIS, ZEQUOIA E
Entity type:Individual
Prefix:
First Name:ZEQUOIA
Middle Name:E
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 EDGEWOOD ST NE APT 1112
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-4206
Mailing Address - Country:US
Mailing Address - Phone:240-960-1005
Mailing Address - Fax:240-960-1005
Practice Address - Street 1:611 EDGEWOOD ST NE APT 1112
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-4206
Practice Address - Country:US
Practice Address - Phone:240-960-1005
Practice Address - Fax:240-960-1005
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant