Provider Demographics
NPI:1750640389
Name:SADJIEP, PONJA DELPHINE
Entity Type:Individual
Prefix:MS
First Name:PONJA
Middle Name:DELPHINE
Last Name:SADJIEP
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 1:1722 GIRARD ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2035
Mailing Address - Country:US
Mailing Address - Phone:301-312-9937
Mailing Address - Fax:
Practice Address - Street 1:1722 GIRARD ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2035
Practice Address - Country:US
Practice Address - Phone:301-312-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide