Most Relevant Information
Provider Data
| NPI Number: | 1003329806 |
| Provider Name: | SAMUEL AGYEI BRIGHT |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/15/2017 |
| Last Updated: | 11/15/2017 |
Provider Practice Location
12801 NIGHT OWL CT
BRISTOW
VA
201365101
Practice Location Phone/Fax
| Phone: | 7035974046 |
| Fax: | 7035974046 |
Provider Mailing Location
12801 NIGHT OWL CT
BRISTOW
VA
201365101
Provider Mailing Phone/Fax
| Phone: | 7035974046 |
| Fax: | 7035974046 |