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NPI Code Detail

MEDICARE: EMERENCIA NGWENYI

MEDICARE:   EMERENCIA  NGWENYI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramHHA11385DC

General Provider Information

NPI Number : 1568848695
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMERENCIA NGWENYI
Provider Business Mailing Address
First Line : 3407 DODGE PARK RD APT 202
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2017
Country : US
Telephone Number : 240-413-9202
Fax Number :
Provider Business Practice Location Address
First Line : 3407 DODGE PARK RD APT 202
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2017
Country : US
Telephone Number : 240-413-9202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2015
Last Update Date : 07/30/2015

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Directions to “ EMERENCIA NGWENYI ” Practice Location

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