Provider Demographics
NPI:1578935177
Name:SENJE, DIENNE MUKETE
Entity Type:Individual
Prefix:
First Name:DIENNE
Middle Name:MUKETE
Last Name:SENJE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIENNE
Other - Middle Name:MUKETE
Other - Last Name:SENJEA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10105 PALAMAR DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2136
Mailing Address - Country:US
Mailing Address - Phone:240-883-1327
Mailing Address - Fax:
Practice Address - Street 1:10105 PALAMAR DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2136
Practice Address - Country:US
Practice Address - Phone:240-883-1327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC11551374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide