Basic Information
Provider Information
NPI: 1750783395
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADJEI TWUM
FirstName: SALOMEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6856 EASTERN AVE NW
Address2: SUITE 220
City: WASHINGTON
State: DC
PostalCode: 200122165
CountryCode: US
TelephoneNumber: 2025456980
FaxNumber: 8778396747
Practice Location
Address1: 6856 EASTERN AVENUE
Address2: SUIT 220
City: NW WASHINGTON
State: DC
PostalCode: 20012
CountryCode: US
TelephoneNumber: 2025456947
FaxNumber: 8778396747
Other Information
ProviderEnumerationDate: 09/25/2014
LastUpdateDate: 09/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164W00000XLPN 1007592DCY Nursing Service ProvidersLicensed Practical Nurse 

ID Information
IDTypeStateIssuerDescription
46400166301MDI DONT HAVE NON OF THESEOTHER


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