Healthcare Provider Details

I. General information

NPI: 1215362744
Provider Name (Legal Business Name): DELPHINE ACHO NJONG HHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7826 EASTERN AVE NW
WASHINGTON DC
20012-1324
US

IV. Provider business mailing address

9813 WOODBERRY ST
LANHAM MD
20706-3600
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-7776
  • Fax:
Mailing address:
  • Phone: 301-429-0435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA6710
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: