Provider Demographics
NPI:1518644681
Name:PAFE, VICTORINE NAKUE
Entity Type:Individual
Prefix:
First Name:VICTORINE
Middle Name:NAKUE
Last Name:PAFE
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 1:12818 ODENS BEQUEST DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-5614
Mailing Address - Country:US
Mailing Address - Phone:301-675-1125
Mailing Address - Fax:
Practice Address - Street 1:12818 ODENS BEQUEST DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-5614
Practice Address - Country:US
Practice Address - Phone:301-675-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant