Provider Demographics
NPI:1578957155
Name:ESUA, DELPHINE
Entity Type:Individual
Prefix:
First Name:DELPHINE
Middle Name:
Last Name:ESUA
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 1:1711 MOUNT PISGAH LN
Mailing Address - Street 2:# 23
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2445
Mailing Address - Country:US
Mailing Address - Phone:301-674-2233
Mailing Address - Fax:
Practice Address - Street 1:1711 MOUNT PISGAH LN
Practice Address - Street 2:# 23
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2445
Practice Address - Country:US
Practice Address - Phone:301-674-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide