Provider Demographics
NPI:1477893063
Name:ALIDJAH, ADJOWA SIKA
Entity Type:Individual
Prefix:
First Name:ADJOWA
Middle Name:SIKA
Last Name:ALIDJAH
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 1:17021 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:SPENCERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20868-3105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17021 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:SPENCERVILLE
Practice Address - State:MD
Practice Address - Zip Code:20868-3105
Practice Address - Country:US
Practice Address - Phone:302-419-3145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide