Individual
ADWOA BEMPOMAA FOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
(610) 684-4717
Mailing address
3001 ROUTE 130 APT 35G, DELRAN, NJ 08075-2608
(646) 288-3617
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06253900
NJ
164W00000X
Licensed Practical Nurse
293857-1
NY
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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