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NPI Code Detail

MEDICARE: ANGES IHEDIOHAMMA

MEDICARE: ANGES IHEDIOHAMMA
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
1163W00000XRegistered NurseRN66883DC

General Provider Information

NPI Number : 1770964108
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGES IHEDIOHAMMA
Provider Business Mailing Address
First Line : 6856 EASTERN AVE NW
Second Line : NORTH-WEST SUITE 320A
City : WASHINGTON
State : DC
Zip : 20012-2165
Country : US
Telephone Number : 202-541-9844
Fax Number : 202-541-9845
Provider Business Practice Location Address
First Line : 6856 EASTERN AVE NW
Second Line : NORTH-WEST SUITE 320A
City : WASHINGTON
State : DC
Zip : 20012-2165
Country : US
Telephone Number : 202-541-9844
Fax Number : 202-541-9845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2015
Last Update Date : 06/11/2015

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Directions to “ ANGES IHEDIOHAMMA ” Practice Location

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