Provider Demographics
NPI:1376802983
Name:NGU, JOAN ESHO
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:ESHO
Last Name:NGU
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 1:5407 ANNETTE CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-2798
Mailing Address - Country:US
Mailing Address - Phone:240-602-3082
Mailing Address - Fax:
Practice Address - Street 1:CITYCARE HEALTH SERVICES
Practice Address - Street 2:3109 MARTIN LUTHER KING JR AVE SE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-313-7283
Practice Address - Fax:202-516-4995
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1029483163WH0200X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No163WH0200XNursing Service ProvidersRegistered NurseHome Health