Individual
KOFI N BRANSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E YANDELL DR, EL PASO, TX 79902-5677
(000) 000-0000
Mailing address
1601 E YANDELL DR, EL PASO, TX 79902-5677
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713028
TX
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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