Provider Demographics
NPI:1447595590
Name:ASANJI, ANNABELLA NGUMJONG
Entity Type:Individual
Prefix:
First Name:ANNABELLA
Middle Name:NGUMJONG
Last Name:ASANJI
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 1:7763 RIVERDALE RD APT 103
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3927
Mailing Address - Country:US
Mailing Address - Phone:202-290-6490
Mailing Address - Fax:
Practice Address - Street 1:7763 RIVERDALE RD APT 103
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3927
Practice Address - Country:US
Practice Address - Phone:202-290-6490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide