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NPI Code Detail

MEDICARE: ESI ABRUQUAH

MEDICARE:   ESI  ABRUQUAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1720418262
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESI ABRUQUAH
Provider Business Mailing Address
First Line : 4360 WELSH LN APT 12
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-5663
Country : US
Telephone Number : 571-572-1298
Fax Number :
Provider Business Practice Location Address
First Line : 4360 WELSH LN APT 12
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-5663
Country : US
Telephone Number : 571-572-1298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2013
Last Update Date : 11/20/2013

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Directions to “ ESI ABRUQUAH ” Practice Location

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