Individual
MRS. GRACE TAWAH SAYSAY KORMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15017 ASHDALE CIR, WOODBRIDGE, VA 22193-1113
(571) 492-1668
Mailing address
15017 ASHDALE CIR, WOODBRIDGE, VA 22193-1113
(571) 492-1668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002086947
VA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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