MEDICARE: JANET AMOAFO

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
1	376K00000X	Nurse's Aide	1401107877	VA

General Provider Information

NPI Number	:	1285004309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET AMOAFO

Provider Business Mailing Address
First Line	:	2916 FURMAN LN APT T1
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1010
Country	:	US
Telephone Number	:	703-768-5694
Fax Number	:

Provider Business Practice Location Address
First Line	:	2916 FURMAN LN APT T1
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1010
Country	:	US
Telephone Number	:	703-768-5694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2015
Last Update Date	:	10/01/2015

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Directions to “ JANET AMOAFO ” Practice Location

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