Provider Demographics
NPI:1477234433
Name:DELPHINE NTOMNE NTOH, FNU
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:DELPHINE NTOMNE NTOH
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 1:650 PENNSYLVANIA AVE SE STE 330
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4397
Mailing Address - Country:US
Mailing Address - Phone:202-864-4184
Mailing Address - Fax:202-864-4158
Practice Address - Street 1:3465 ANDREW CT APT 203
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2334
Practice Address - Country:US
Practice Address - Phone:757-324-9656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator