Individual
KWADWO A YEBOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
786 SILAS DEANE HWY, WETHERSFIELD, CT 06109-3071
(860) 785-8162
Mailing address
786 SILAS DEANE HWY, WETHERSFIELD, CT 06109-3071
(860) 785-8162
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058471590
HOME CARE
CT
Enumeration date
01/05/2021
Last updated
01/17/2022
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