Healthcare Provider Details

I. General information

NPI: 1407292477
Provider Name (Legal Business Name): DAVID ZETAH NJINGANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2013
Last Update Date: 05/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10811 GEORGIA AVE APT 201
SILVER SPRING MD
20902-4744
US

IV. Provider business mailing address

10811 GEORGIA AVE APT 201
SILVER SPRING MD
20902-4744
US

V. Phone/Fax

Practice location:
  • Phone: 240-478-4851
  • Fax:
Mailing address:
  • Phone: 240-478-4851
  • 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: