Provider Demographics
NPI:1093076168
Name:NZOUNKEKANG, FRANKA N
Entity Type:Individual
Prefix:
First Name:FRANKA
Middle Name:N
Last Name:NZOUNKEKANG
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 1:1521 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1615
Mailing Address - Country:US
Mailing Address - Phone:240-688-5174
Mailing Address - Fax:
Practice Address - Street 1:1521 4TH ST
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20706-1615
Practice Address - Country:US
Practice Address - Phone:240-688-5174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker