MEDICARE: RITTA NKENGFACK ZEMAFIE

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	374U00000X	Home Health Aide	HHA11195	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HHA11195	OTHER	DC	HHA LICENSE NUMBER

General Provider Information

NPI Number	:	1982082228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITTA NKENGFACK ZEMAFIE

Provider Business Mailing Address
First Line	:	703 CHILLUM RD APT 101
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-6336
Country	:	US
Telephone Number	:	240-423-0551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 WISCONSIN AVE NW STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-3680
Country	:	US
Telephone Number	:	202-955-8355
Fax Number	:

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

Provider Enumeration Date	:	05/07/2015
Last Update Date	:	05/07/2015

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