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NPI Code Detail

MEDICARE: BLANCHE ORNELLA ENGOCHAM

MEDICARE:   BLANCHE ORNELLA  ENGOCHAM
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 Aide

General Provider Information

NPI Number : 1336831676
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLANCHE ORNELLA ENGOCHAM
Provider Business Mailing Address
First Line : 1707 ARCOLA AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-2813
Country : US
Telephone Number : 240-564-9537
Fax Number :
Provider Business Practice Location Address
First Line : 1707 ARCOLA AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-2813
Country : US
Telephone Number : 240-564-9537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2023
Last Update Date : 05/24/2023

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Directions to “ BLANCHE ORNELLA ENGOCHAM ” Practice Location

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