Provider Demographics
NPI:1376885756
Name:TCHUENKAM KAMKU, NADEGE M
Entity Type:Individual
Prefix:MISS
First Name:NADEGE
Middle Name:M
Last Name:TCHUENKAM KAMKU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NADEGE
Other - Middle Name:KAMKU
Other - Last Name:TCHUENKAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HHA
Mailing Address - Street 1:9861 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3211
Mailing Address - Country:US
Mailing Address - Phone:915-667-3269
Mailing Address - Fax:
Practice Address - Street 1:9861 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3211
Practice Address - Country:US
Practice Address - Phone:915-667-3269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide