Provider Demographics
NPI:1801610100
Name:BAMFO, OHENEWAH
Entity type:Individual
Prefix:
First Name:OHENEWAH
Middle Name:
Last Name:BAMFO
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 1:8402 VINETREE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4537
Mailing Address - Country:US
Mailing Address - Phone:214-952-0139
Mailing Address - Fax:
Practice Address - Street 1:8402 VINETREE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-4537
Practice Address - Country:US
Practice Address - Phone:214-952-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty