Provider Demographics
NPI:1265792881
Name:FOKAM, HELENE STEPHANIE (HHA)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:STEPHANIE
Last Name:FOKAM
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7735 RIVERDALE RD APT 302
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3902
Mailing Address - Country:US
Mailing Address - Phone:202-702-5595
Mailing Address - Fax:
Practice Address - Street 1:7735 RIVERDALE RD APT 302
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3902
Practice Address - Country:US
Practice Address - Phone:202-702-5595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide