Provider Demographics
NPI:1225397938
Name:ASONGANYI, FLORENCE ATEMNKENG
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:ATEMNKENG
Last Name:ASONGANYI
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 1:5930 89TH PLACE
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784
Mailing Address - Country:US
Mailing Address - Phone:202-286-7806
Mailing Address - Fax:
Practice Address - Street 1:5930 89TH PL
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-2824
Practice Address - Country:US
Practice Address - Phone:202-286-7806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA252255073344374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide