Individual
MILDRED SARPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 VALOR WAY APT 4133, WOODBRIDGE, VA 22191-6752
(973) 641-0638
Mailing address
2200 VALOR WAY APT 4133, WOODBRIDGE, VA 22191-6752
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187306
VA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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