Provider Demographics
NPI:1720418262
Name:ABRUQUAH, ESI
Entity Type:Individual
Prefix:
First Name:ESI
Middle Name:
Last Name:ABRUQUAH
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 1:4360 WELSH LN APT 12
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5663
Mailing Address - Country:US
Mailing Address - Phone:571-572-1298
Mailing Address - Fax:
Practice Address - Street 1:4360 WELSH LN APT 12
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5663
Practice Address - Country:US
Practice Address - Phone:571-572-1298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide