Provider Demographics
NPI:1932801206
Name:DJAMEN, LEONELLE
Entity type:Individual
Prefix:
First Name:LEONELLE
Middle Name:
Last Name:DJAMEN
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 1:108 OLDE TOWNE AVE
Mailing Address - Street 2:408
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-6001
Mailing Address - Country:US
Mailing Address - Phone:240-755-5195
Mailing Address - Fax:
Practice Address - Street 1:108 OLDE TOWNE AVE
Practice Address - Street 2:408
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-6001
Practice Address - Country:US
Practice Address - Phone:240-755-5195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty