Individual
ABENA MARFOWAA OWUSU-NKWANTABISAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 CABEZON BLVD SE, RIO RANCHO, NM 87124-1576
(505) 717-1155
Mailing address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTP-2022-0786
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2022
Last updated
10/18/2022
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