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Individual

KOMI MAWUSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6271 DREW DR, VIRGINIA BEACH, VA 23464-4636
(757) 214-3333
Mailing address
6271 DREW DR, VIRGINIA BEACH, VA 23464-4636
(757) 214-3333

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
00241734667
VA

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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