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: |