Individual
MOSES KWASI LOPEZ-TWUMASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
2416 CYPRESS GREEN LN, HERNDON, VA 20171-5349
(480) 254-6472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101271600
VA
261QS1000X
Student Health Clinic/Center
390200000X
VA
Other
Enumeration date
04/01/2018
Last updated
07/29/2021
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