Healthcare Provider Details

I. General information

NPI: 1053754515
Provider Name (Legal Business Name): ERIC NDONE NJUME
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 04/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13248 COPLAND CT
SILVER SPRING MD
20904-7105
US

IV. Provider business mailing address

13248 COPLAND CT
SILVER SPRING MD
20904-7105
US

V. Phone/Fax

Practice location:
  • Phone: 240-565-9285
  • Fax:
Mailing address:
  • Phone: 240-565-9285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA2878
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: