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NPI Code Detail

MEDICARE: MR. CLEMENT YAH NJONG CN

MEDICARE: MR. CLEMENT YAH NJONG CN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA14308DC

General Provider Information

NPI Number : 1306303581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLEMENT YAH NJONG CN
Provider Business Mailing Address
First Line : 6021 67TH AVE APT 1
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-1765
Country : US
Telephone Number : 240-521-9445
Fax Number :
Provider Business Practice Location Address
First Line : 6021 67TH AVE APT 1
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-1765
Country : US
Telephone Number : 240-521-9445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 02/25/2019

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Directions to “ MR. CLEMENT YAH NJONG CN” Practice Location

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