Healthcare Provider Details

I. General information

NPI: 1891231262
Provider Name (Legal Business Name): ALAIN NJANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 01/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4941 N CAPITOL ST NE
WASHINGTON DC
20011-6753
US

IV. Provider business mailing address

4941 N CAPITOL ST NE
WASHINGTON DC
20011-6753
US

V. Phone/Fax

Practice location:
  • Phone: 301-675-2723
  • Fax:
Mailing address:
  • Phone: 301-675-2723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: