Provider Information for 1841791456
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MARY SOWAH-QUAYE
Sex: Female
NPI: 1841791456
Last Updated: 2023-01-24
Certification Date: 2023-01-24
Certification Date: 2023-01-24
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841791456 | ||||||||||||
| Enumeration Date | 2018-02-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1326 EAST CAMBRIDGE COURT LANCASTER, CA 93535 United States Phone: 661-942-4514 | Fax: | ||||||||||||
| Primary Practice Address | 1326 EAST CAMBRIDGE COURT LANCASTER, CA 93535 United States Phone: 661-942-4514 | Fax: | ||||||||||||
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