Provider Demographics
NPI:1407292477
Name:NJINGANG, DAVID ZETAH
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ZETAH
Last Name:NJINGANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10811 GEORGIA AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4744
Mailing Address - Country:US
Mailing Address - Phone:240-478-4851
Mailing Address - Fax:
Practice Address - Street 1:10811 GEORGIA AVE APT 201
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4744
Practice Address - Country:US
Practice Address - Phone:240-478-4851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide