Individual
SOPHIA ANTWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 SHIRLEY GATE RD, FAIRFAX, VA 22030-5518
(703) 205-9452
(703) 653-1389
Mailing address
7936 BRESSINGHAM DR, FAIRFAX STATION, VA 22039-3157
(703) 731-7319
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001150860
VA
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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