Provider Demographics
NPI:1851175681
Name:ZAMA, AKONG-NWI CLARA ANN (MPH, CPRP, CFRP)
Entity Type:Individual
Prefix:
First Name:AKONG-NWI
Middle Name:CLARA ANN
Last Name:ZAMA
Suffix:
Gender:F
Credentials:MPH, CPRP, CFRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 TWIN VW
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-6746
Mailing Address - Country:US
Mailing Address - Phone:240-640-4522
Mailing Address - Fax:
Practice Address - Street 1:2301 DORSEY RD STE 214
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3275
Practice Address - Country:US
Practice Address - Phone:240-640-4522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health