Provider Demographics
NPI:1326309915
Name:OJONG, ASHUEBANGHA (HHA)
Entity Type:Individual
Prefix:MISS
First Name:ASHUEBANGHA
Middle Name:
Last Name:OJONG
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 BRIGHTSEAT RD
Mailing Address - Street 2:#6
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3541
Mailing Address - Country:US
Mailing Address - Phone:240-784-0779
Mailing Address - Fax:
Practice Address - Street 1:2402 BRIGHTSEAT RD
Practice Address - Street 2:#6
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-3541
Practice Address - Country:US
Practice Address - Phone:240-784-0779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide