Healthcare Provider Details

I. General information

NPI: 1306700034
Provider Name (Legal Business Name): SOPHIA C GUERRIER GRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 EMERSON ST NW
WASHINGTON DC
20011-4007
US

IV. Provider business mailing address

12324 EUGENES PROSPECT DR
BOWIE MD
20720-3373
US

V. Phone/Fax

Practice location:
  • Phone: 202-829-2243
  • Fax:
Mailing address:
  • Phone: 301-538-5153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: