Most Relevant Information
Provider Data
| NPI Number: | 1003664236 |
| Provider Name: | SAMUEL OWUSU |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 0001283160 |
Most Important Dates
| Enumeration Date: | 05/13/2024 |
| Last Updated: | 06/06/2024 |
Provider Practice Location
4850 MARK CENTER DR
ALEXANDRIA
VA
223111882
Practice Location Phone/Fax
| Phone: | 7037463400 |
| Fax: |
Provider Mailing Location
4850 MARK CENTER DR FL 9
ALEXANDRIA
VA
223111882
Provider Mailing Phone/Fax
| Phone: | 7037463444 |
| Fax: |