Individual
EMMANUEL ANTWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2603 GLENRIVER WAY, WOODBRIDGE, VA 22191-5178
(703) 582-4608
Mailing address
2603 GLENRIVER WAY, WOODBRIDGE, VA 22191-5178
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000
000000000000
—
Enumeration date
11/15/2017
Last updated
06/16/2018
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