Provider Demographics
NPI:1164610358
Name:DAKWA, ESTHER K
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:K
Last Name:DAKWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3789 S CRAMER CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-8845
Mailing Address - Country:US
Mailing Address - Phone:812-219-4172
Mailing Address - Fax:
Practice Address - Street 1:3789 S CRAMER CIR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-8845
Practice Address - Country:US
Practice Address - Phone:812-219-4172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0130-64-9918172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker