Provider Demographics
NPI:1659147338
Name:ASONG, NICOLINE ABOH
Entity Type:Individual
Prefix:
First Name:NICOLINE
Middle Name:ABOH
Last Name:ASONG
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 1:1815 24TH ST NE APT T2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1921
Mailing Address - Country:US
Mailing Address - Phone:513-307-3563
Mailing Address - Fax:
Practice Address - Street 1:1815 24TH ST NE APT T2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1921
Practice Address - Country:US
Practice Address - Phone:513-307-3563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator