Individual
PATRICK ANTWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 COLLLINGWOOD RD, ALEXANDRIA, VA 22304-2230
(703) 597-8472
Mailing address
1003 COLLINGWOOD RD, ALEXANDRIA, VA 22308-1723
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
82-2275894
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822275894
NON EMERGENCY TRANSPORTATION PROVIDER
VA
Enumeration date
11/21/2017
Last updated
11/21/2017
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