Provider Demographics
NPI:1043812472
Name:NTONGWE, DIONE
Entity Type:Individual
Prefix:
First Name:DIONE
Middle Name:
Last Name:NTONGWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7769 RIVERDALE RD APT 203
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTN
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3931
Mailing Address - Country:US
Mailing Address - Phone:240-764-9912
Mailing Address - Fax:
Practice Address - Street 1:6475 NEW HAMPSHIRE AVE # B410
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3269
Practice Address - Country:US
Practice Address - Phone:301-441-2368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide