MEDICARE: ALICE NJONG TAMBE

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	164X00000X	Licensed Vocational Nurse	324290	TX

General Provider Information

NPI Number	:	1457992851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE NJONG TAMBE

Provider Business Mailing Address
First Line	:	9903 S DAIRY ASHFORD RD APT 5902
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-2333
Country	:	US
Telephone Number	:	346-978-8720
Fax Number	:

Provider Business Practice Location Address
First Line	:	9903 S DAIRY ASHFORD RD APT 5902
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-2333
Country	:	US
Telephone Number	:	346-978-8720
Fax Number	:

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

Provider Enumeration Date	:	10/07/2019
Last Update Date	:	10/07/2019

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Directions to “ ALICE NJONG TAMBE ” Practice Location

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