MEDICARE: ALEX NGANKOU NJOMO

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1972371037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX NGANKOU NJOMO

Provider Business Mailing Address
First Line	:	2915 COLLINS AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2683
Country	:	US
Telephone Number	:	240-703-0017
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 COLLINS AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2683
Country	:	US
Telephone Number	:	240-703-0017
Fax Number	:

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

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “ ALEX NGANKOU NJOMO ” Practice Location

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