Individual
NJANG NJANG ETI EPSE ACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 54TH AVE APT 2, HYATTSVILLE, MD 20784-1004
(301) 326-7691
Mailing address
3512 54TH AVE APT 2, HYATTSVILLE, MD 20784-1004
(301) 326-7691
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13026
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13026
—
DC
Enumeration date
08/19/2017
Last updated
03/01/2018
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