Provider Demographics
NPI:1376903922
Name:NKANGNIA-NJOMO, CHANTAL SYLVIE
Entity type:Individual
Prefix:
First Name:CHANTAL
Middle Name:SYLVIE
Last Name:NKANGNIA-NJOMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHANTAL
Other - Middle Name:SYLVIE
Other - Last Name:NKANGNIA-NJOMO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2910 MARTIN LUTHER KING JR AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-2522
Mailing Address - Country:US
Mailing Address - Phone:202-988-3863
Mailing Address - Fax:202-998-2606
Practice Address - Street 1:2910 MARTIN LUTHER KING JR AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2522
Practice Address - Country:US
Practice Address - Phone:202-988-3863
Practice Address - Fax:202-998-2606
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100001950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist