Healthcare Provider Details

I. General information

NPI: 1427312511
Provider Name (Legal Business Name): YVONNE EBANGHA NJANG HHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 07/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11215 OAK LEAF DR APT 520
SILVER SPRING MD
20901-1368
US

IV. Provider business mailing address

11215 OAK LEAF DR APT 520
SILVER SPRING MD
20901-1368
US

V. Phone/Fax

Practice location:
  • Phone: 202-545-0935
  • Fax: 202-545-0934
Mailing address:
  • Phone: 202-545-0935
  • Fax: 202-545-0934

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: