Individual
KWABENA A BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS,MS
Contact information
Practice address
2569 MIRANDA CT, WOODBRIDGE, VA 22191-5145
(804) 898-5981
Mailing address
2569 MIRANDA CT, WOODBRIDGE, VA 22191-5145
(804) 898-5981
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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