Individual
EDWARD DUA AMPONSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
Mailing address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189142
VA
Other
Enumeration date
11/30/2023
Last updated
01/05/2024
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