Individual
ROBERT N ESSIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6803 BACKLICK RD STE C, SPRINGFIELD, VA 22150-3075
(703) 596-0016
(703) 752-0540
Mailing address
6803 BACKLICK RD STE C, SPRINGFIELD, VA 22150-3075
(703) 596-0016
(703) 752-0540
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8253
VA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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