Provider Demographics
NPI:1376115832
Name:PAYONG, BEATRICE NJINGA
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:NJINGA
Last Name:PAYONG
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 1:5233 N CAPITOL ST NE APT 209
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6770
Mailing Address - Country:US
Mailing Address - Phone:202-422-7289
Mailing Address - Fax:
Practice Address - Street 1:5233 N CAPITOL ST NE APT 209
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6770
Practice Address - Country:US
Practice Address - Phone:202-422-7289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant