Provider Demographics
NPI:1639518210
Name:AYONG, MAUREEN MEYANG
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:MEYANG
Last Name:AYONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:MEYANG
Other - Last Name:AYONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2748 LORRING DR APT 301
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3437
Mailing Address - Country:US
Mailing Address - Phone:301-646-4524
Mailing Address - Fax:
Practice Address - Street 1:2748 LORRING DR APT 301
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-3437
Practice Address - Country:US
Practice Address - Phone:301-646-4524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1016927251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health