Most Relevant Information
Provider Data
NPI Number: | 1003310202 |
Provider Name: | PETER OBENG |
Entity Type: | Individual |
Taxonomy Code: | 172A00000X |
Specialty: | Driver |
License Number: | A61315630 |
Most Important Dates
Enumeration Date: | 03/21/2018 |
Last Updated: | 03/21/2018 |
Provider Practice Location
4390 WELSH LN APT 11
WOODBRIDGE
VA
221935667
Practice Location Phone/Fax
Phone: | 5714778936 |
Fax: |
Provider Mailing Location
4390 WELSH LN APT 11
WOODBRIDGE
VA
221935667
Provider Mailing Phone/Fax
Phone: | |
Fax: |