Provider Demographics
NPI:1619685245
Name:OSEI-MENSAH, ODETTE AMANA
Entity Type:Individual
Prefix:
First Name:ODETTE
Middle Name:AMANA
Last Name:OSEI-MENSAH
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 1:4708 BRADLEY BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6318
Mailing Address - Country:US
Mailing Address - Phone:865-686-2334
Mailing Address - Fax:
Practice Address - Street 1:6906 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5206
Practice Address - Country:US
Practice Address - Phone:301-841-0249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy