Healthcare Provider Details

I. General information

NPI: 1437644960
Provider Name (Legal Business Name): HILDA NJAIBAH NJONJI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 LEGATO TER
SILVER SPRING MD
20901-5052
US

IV. Provider business mailing address

408 LEGATO TER
SILVER SPRING MD
20901-5052
US

V. Phone/Fax

Practice location:
  • Phone: 301-393-7518
  • Fax:
Mailing address:
  • Phone: 301-393-7518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA13727
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: