Healthcare Provider Details

I. General information

NPI: 1992345185
Provider Name (Legal Business Name): AJOWA NZINGA IFATEYO CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 NEW HAMPSHIRE AVE NW STE 200
WASHINGTON DC
20037-2334
US

IV. Provider business mailing address

908 NEW HAMPSHIRE AVE NW STE 200
WASHINGTON DC
20037-2334
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-5055
  • Fax:
Mailing address:
  • Phone: 202-833-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberNU200000278
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberNU200000278
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: