Provider Demographics
NPI:1942704143
Name:ASONGFUA, NGAIBEMANU PAMELA
Entity Type:Individual
Prefix:
First Name:NGAIBEMANU
Middle Name:PAMELA
Last Name:ASONGFUA
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 1:5644 WHITFIELD CHAPEL RD APT 202
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2560
Mailing Address - Country:US
Mailing Address - Phone:240-615-6771
Mailing Address - Fax:
Practice Address - Street 1:5644 WHITFIELD CHAPEL RD APT 202
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2560
Practice Address - Country:US
Practice Address - Phone:240-615-6771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide