Provider Demographics
NPI:1174033575
Name:NGOH, PASCALINE TEMBENG
Entity Type:Individual
Prefix:
First Name:PASCALINE
Middle Name:TEMBENG
Last Name:NGOH
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 1:1419 9TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1631
Mailing Address - Country:US
Mailing Address - Phone:240-714-8619
Mailing Address - Fax:
Practice Address - Street 1:1419 9TH ST
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20706-1631
Practice Address - Country:US
Practice Address - Phone:240-714-8619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA127611374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide