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NPI Code Detail

MEDICARE: LESLY AZOH NJONG

MEDICARE:   LESLY AZOH NJONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA12991DC

General Provider Information

NPI Number : 1164933131
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLY AZOH NJONG
Provider Business Mailing Address
First Line : 1310 GALLATIN ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-6918
Country : US
Telephone Number : 202-386-2276
Fax Number :
Provider Business Practice Location Address
First Line : 1310 GALLATIN ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-6918
Country : US
Telephone Number : 202-386-2276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2017
Last Update Date : 10/18/2017

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Directions to “ LESLY AZOH NJONG ” Practice Location

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