Addo Ayensu, Gloria Ayeyidwom
Addo Ayensu, Gloria Ayeyidwom is an individual health care provider with primary practice located at 10777 Main St #203, Fairfax VA 22030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Addo Ayensu, Gloria Ayeyidwom can be contacted via phone (703) 246-2479.Contact Information
Primary practice address
10777 Main St #203
Fairfax VA 22030
Phone: (703) 246-2479
Fax: (703) 273-0825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 0101059183 | Virginia |
Profile Details
| NPI number | 1134216674 |
|---|---|
| LBN Legal business name | Addo Ayensu, Gloria Ayeyidwom |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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