Provider Demographics
NPI:1033799671
Name:DEFEU, SANDRINE NDOMEKOUH (MD)
Entity Type:Individual
Prefix:
First Name:SANDRINE
Middle Name:NDOMEKOUH
Last Name:DEFEU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SANDRINE
Other - Middle Name:NDOMEKOUH
Other - Last Name:NGAMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7347 LUZ DE VILLA CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-8417
Mailing Address - Country:US
Mailing Address - Phone:806-544-0168
Mailing Address - Fax:
Practice Address - Street 1:7347 LUZ DE VILLA CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-8417
Practice Address - Country:US
Practice Address - Phone:806-544-0168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program