Individual provider · NPI-1
Dora Antwi
Home Health Aide · Stafford, VA
NPI number1144934860
StatusActive
Last updated in NPPESJan 9, 2023
Details
- NPI
- 1144934860
- Entity type
- Individual (NPI-1)
- Name
- Dora Antwi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2023
- Certification date
- Jan 7, 2023
- Last updated
- Jan 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
2046 Richmond Hwy Ste AStafford, VA 22554-7276
Phone 202-604-1610 · Fax 808-466-1211
Mailing address
2690 Penbury Ct Apt 302Woodbridge, VA 22191-4238
Phone 571-866-0105
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