Individual
KONYENASOA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11601 ROBIOUS RD, MIDLOTHIAN, VA 23113-5605
(804) 379-9494
(804) 379-3702
Mailing address
11601 ROBIOUS RD, MIDLOTHIAN, VA 23113-5605
(804) 379-9494
(804) 379-3702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101246618
VA
Other
Enumeration date
06/26/2007
Last updated
08/02/2010
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