Individual
LISTOWELL ASAMOAH MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 MAIN ST, PATERSON, NJ 07503-2619
(862) 257-9990
Mailing address
726 WHARFSIDE CT BLDG 70A, PERTH AMBOY, NJ 08861-2999
(646) 348-4490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04005100
NJ
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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