Provider Demographics
NPI:1881233229
Name:NJIE, EMADE SYLVIE
Entity Type:Individual
Prefix:
First Name:EMADE
Middle Name:SYLVIE
Last Name:NJIE
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:PO BOX 9086
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92375-9086
Mailing Address - Country:US
Mailing Address - Phone:909-475-8611
Mailing Address - Fax:
Practice Address - Street 1:4267 CARLIN AVE APT 14
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-5326
Practice Address - Country:US
Practice Address - Phone:619-609-6979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant