Provider Demographics
NPI:1013760693
Name:TANGA, JOCELINE OMAH
Entity Type:Individual
Prefix:
First Name:JOCELINE
Middle Name:OMAH
Last Name:TANGA
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 1:7742 FINNS LN APT C2
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1324
Mailing Address - Country:US
Mailing Address - Phone:240-761-4128
Mailing Address - Fax:
Practice Address - Street 1:7742 FINNS LN APT C2
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1324
Practice Address - Country:US
Practice Address - Phone:240-761-4128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide