Individual
MR. KOUADIO KRA KOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
13074 PILGRIMS INN DR, WOODBRIDGE, VA 22193-4990
(703) 843-6603
(571) 386-1443
Mailing address
13074 PILGRIMS INN DR, WOODBRIDGE, VA 22193-4990
(703) 843-6603
(571) 386-1443
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HCO-161328
VA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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