Individual
STELLA BASOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191-3346
(703) 680-2111
Mailing address
8500 SKY VIEW DR APT 103, ALEXANDRIA, VA 22309-8410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/05/2022
Last updated
04/05/2025
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