Provider Demographics
NPI:1598244089
Name:TENEKEU, MARC STEPHANE
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:STEPHANE
Last Name:TENEKEU
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:MARC
Other - Middle Name:STEPHANE
Other - Last Name:TENEKEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3331 BUCHANAN ST APT 301
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1120
Mailing Address - Country:US
Mailing Address - Phone:301-701-0950
Mailing Address - Fax:
Practice Address - Street 1:5201 CONNECTICUT AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1830
Practice Address - Country:US
Practice Address - Phone:202-248-7451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty