Healthcare Provider Details

I. General information

NPI: 1720667389
Provider Name (Legal Business Name): MARTINA C NJOKU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6856 EASTERN AVE NW STE 320A
WASHINGTON DC
20012-2112
US

IV. Provider business mailing address

906 FALLS LAKE DR
BOWIE MD
20721-3155
US

V. Phone/Fax

Practice location:
  • Phone: 202-541-9844
  • Fax:
Mailing address:
  • Phone: 240-646-6372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA14805
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: