Provider Demographics
NPI:1245592336
Name:ATEMBE, ATEM ATABONG
Entity Type:Individual
Prefix:
First Name:ATEM
Middle Name:ATABONG
Last Name:ATEMBE
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 1:6809 LANDON CT
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3048
Mailing Address - Country:US
Mailing Address - Phone:301-825-4349
Mailing Address - Fax:
Practice Address - Street 1:6809 LANDON CT
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3048
Practice Address - Country:US
Practice Address - Phone:301-825-4349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide