Provider Demographics
NPI:1811870546
Name:TETTEY MENSAH, GODLOVE REBECCA
Entity type:Individual
Prefix:
First Name:GODLOVE
Middle Name:REBECCA
Last Name:TETTEY 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 1:11852 MOUNT VERNON AVE APT 616
Mailing Address - Street 2:
Mailing Address - City:GRAND TERRACE
Mailing Address - State:CA
Mailing Address - Zip Code:92313-8319
Mailing Address - Country:US
Mailing Address - Phone:909-272-7195
Mailing Address - Fax:
Practice Address - Street 1:11852 MOUNT VERNON AVE APT 616
Practice Address - Street 2:
Practice Address - City:GRAND TERRACE
Practice Address - State:CA
Practice Address - Zip Code:92313-8319
Practice Address - Country:US
Practice Address - Phone:909-272-7195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program