Individual
ROSE OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6036 HEATHWICK CT, BURKE, VA 22015-3259
(703) 657-9647
Mailing address
6036 HEATHWICK CT, BURKE, VA 22015-3259
(703) 657-9647
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002074282
VA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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