Individual
ADJOA AHAVESSI WODOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 SOUTHERN BLVD APT 8E, BRONX, NY 10460-1406
(646) 617-3895
Mailing address
2015 SOUTHERN BLVD APT 8E, BRONX, NY 10460-1406
(646) 617-3895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713724
NY
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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