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NPI Code Detail

MEDICARE: AJOWA NZINGA IFATEYO

MEDICARE:   AJOWA NZINGA IFATEYO
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1992345185
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJOWA NZINGA IFATEYO
Provider Business Mailing Address
First Line : 2519 UNIVERSITY PL NW APT D
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-8528
Country : US
Telephone Number : 202-538-0007
Fax Number :
Provider Business Practice Location Address
First Line : 2519 UNIVERSITY PL NW APT D
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-8528
Country : US
Telephone Number : 202-538-0007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2020
Last Update Date : 01/15/2020

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Directions to “ AJOWA NZINGA IFATEYO ” Practice Location

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