Provider Demographics
NPI:1467705210
Name:WAWA, EMMANUEL NJINGTI (HOME HEALTH AID)
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:NJINGTI
Last Name:WAWA
Suffix:
Gender:M
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5823 CHERRYWOOD LN APT 102
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4229
Mailing Address - Country:US
Mailing Address - Phone:202-706-1115
Mailing Address - Fax:
Practice Address - Street 1:5823 CHERRYWOOD LN APT 102
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4229
Practice Address - Country:US
Practice Address - Phone:202-706-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide