Individual
MAAME GYASIWAH BANAHENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1812 FEATHERSTONE RD, WOODBRIDGE, VA 22191
(703) 477-2499
Mailing address
1812 FEATHERSTONE RD, WOODBRIDGE, VA 22191-3413
(703) 477-2499
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001278314
VA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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