Provider Demographics
NPI:1134678444
Name:NJONG, PARTRISON BAYONG
Entity Type:Individual
Prefix:
First Name:PARTRISON
Middle Name:BAYONG
Last Name:NJONG
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 1:6021 67TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1765
Mailing Address - Country:US
Mailing Address - Phone:240-470-2778
Mailing Address - Fax:
Practice Address - Street 1:6021 67TH AVE APT 1
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1765
Practice Address - Country:US
Practice Address - Phone:240-470-2778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide