MEDICARE: GLORY AJIUWAI NJOIKOU

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
1	3747P1801X	Personal Care Attendant	200004522	MD

General Provider Information

NPI Number	:	1306643986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORY AJIUWAI NJOIKOU

Provider Business Mailing Address
First Line	:	6320 BRIGHTLEA DR
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2866
Country	:	US
Telephone Number	:	301-454-9457
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 BRIGHTLEA DR
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2866
Country	:	US
Telephone Number	:	301-454-9457
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2025
Last Update Date	:	05/15/2025

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