Provider Demographics
NPI:1346805371
Name:NGOUMENI, GERMAINE GWLADYS WANSI
Entity type:Individual
Prefix:
First Name:GERMAINE
Middle Name:GWLADYS WANSI
Last Name:NGOUMENI
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 1:869 ENGLISH CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-5851
Mailing Address - Country:US
Mailing Address - Phone:202-494-7688
Mailing Address - Fax:
Practice Address - Street 1:4915 12TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2802
Practice Address - Country:US
Practice Address - Phone:202-494-7688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant