Provider Demographics
NPI:1558628594
Name:ASSIAMAH, JOYCE AKOSUA
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:AKOSUA
Last Name:ASSIAMAH
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 1:519 N ARMISTEAD ST
Mailing Address - Street 2:APT. 302
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2838
Mailing Address - Country:US
Mailing Address - Phone:571-309-3154
Mailing Address - Fax:
Practice Address - Street 1:1003 W BROAD ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4610
Practice Address - Country:US
Practice Address - Phone:703-241-5031
Practice Address - Fax:703-241-5037
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208193183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist