Healthcare Provider Details

I. General information

NPI: 1952267569
Provider Name (Legal Business Name): MS. FRIDA AMEZI EPSE NGOCHO AZIWOH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10914 GOLF COURSE TER
BOWIE MD
20721-2370
US

IV. Provider business mailing address

10914 GOLF COURSE TER
BOWIE MD
20721-2370
US

V. Phone/Fax

Practice location:
  • Phone: 202-359-3145
  • Fax:
Mailing address:
  • Phone: 202-359-3145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number200005739
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: