Provider Demographics
NPI:1710248968
Name:NDOUMBE, CHRISTIANE BATHE (HHC)
Entity Type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:BATHE
Last Name:NDOUMBE
Suffix:
Gender:F
Credentials:HHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 NOVEMBER CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6943
Mailing Address - Country:US
Mailing Address - Phone:240-602-6840
Mailing Address - Fax:
Practice Address - Street 1:2101 RHODE ISLAND AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2836
Practice Address - Country:US
Practice Address - Phone:202-262-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide