Individual
SAMUEL NTOW OSAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000
Mailing address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0001225536
VA
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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