Provider Demographics
NPI:1073215802
Name:NJINGOU POUNTOUM, APOLLINAIRE
Entity Type:Individual
Prefix:MR
First Name:APOLLINAIRE
Middle Name:
Last Name:NJINGOU POUNTOUM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3813 64TH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1848
Mailing Address - Country:US
Mailing Address - Phone:240-688-3078
Mailing Address - Fax:
Practice Address - Street 1:3813 64TH AVE APT 3
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-1848
Practice Address - Country:US
Practice Address - Phone:240-688-3078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker