Individual
DR. GLORIA ASANTEWAH SASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8204 GORMAN AVE APT 149, LAUREL, MD 20707-2514
(301) 821-7039
Mailing address
8204 GORMAN AVE 149, LAUREL, MD 20707
(301) 821-7039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
171000000X
Military Health Care Provider
—
—
174H00000X
Health Educator
—
—
176B00000X
Midwife
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
DOD
WA
Enumeration date
02/07/2021
Last updated
02/07/2021
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