Individual
GINETTE NGOMATIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 291-2160
Mailing address
89 MOORE PL, BELLEVILLE, NJ 07109-1941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721547637
—
NJ
Enumeration date
12/14/2016
Last updated
07/03/2023
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