Provider Demographics
NPI:1013351063
Name:AGYEMANG, AMMA AKYIAA (MS, MPH)
Entity Type:Individual
Prefix:MS
First Name:AMMA
Middle Name:AKYIAA
Last Name:AGYEMANG
Suffix:
Gender:F
Credentials:MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3934
Mailing Address - Country:US
Mailing Address - Phone:703-944-5654
Mailing Address - Fax:
Practice Address - Street 1:308 W MARSHALL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3934
Practice Address - Country:US
Practice Address - Phone:703-944-5654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program