Provider Demographics
NPI:1740737642
Name:TCHENDJE, FLORENCE ANGELE
Entity Type:Individual
Prefix:
First Name:FLORENCE ANGELE
Middle Name:
Last Name:TCHENDJE
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 1:4516 FORT TOTTEN DR NE APT 7
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7523
Mailing Address - Country:US
Mailing Address - Phone:331-218-9079
Mailing Address - Fax:
Practice Address - Street 1:4516 FORT TOTTEN DR NE APT 7
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7523
Practice Address - Country:US
Practice Address - Phone:331-218-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12381374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide