Provider Demographics
NPI:1447806526
Name:OSEI, DRUSILLA BOATENG
Entity Type:Individual
Prefix:MRS
First Name:DRUSILLA
Middle Name:BOATENG
Last Name:OSEI
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 1:2202 N PICKETT ST APT T2
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1085
Mailing Address - Country:US
Mailing Address - Phone:571-315-3312
Mailing Address - Fax:
Practice Address - Street 1:2202 N PICKETT ST APT T2
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1085
Practice Address - Country:US
Practice Address - Phone:571-315-3312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)