Provider Demographics
NPI:1275885717
Name:NGUIEKOU, GEORGETTE PAULINE
Entity Type:Individual
Prefix:
First Name:GEORGETTE
Middle Name:PAULINE
Last Name:NGUIEKOU
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 1:925 NORTHAMPTON DR
Mailing Address - Street 2:APT. B
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2555
Mailing Address - Country:US
Mailing Address - Phone:240-280-5513
Mailing Address - Fax:
Practice Address - Street 1:925 NORTHAMPTON DR
Practice Address - Street 2:APT. B
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2555
Practice Address - Country:US
Practice Address - Phone:240-280-5513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program