Individual
MARIAN A OPOKU-OTENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15721 TASSLEFORD LANE, 101, WOODBRIDGE, VA 22191
(571) 723-7184
(571) 285-2235
Mailing address
15721 TASSLEFORD LN, 101, WOODBRIDGE, VA 22191-6210
(571) 723-7184
(571) 285-2235
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
464041365
VA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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