Provider Demographics
NPI:1457992851
Name:TAMBE, ALICE NJONG
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:NJONG
Last Name:TAMBE
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 1:9903 S DAIRY ASHFORD RD APT 5902
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2333
Mailing Address - Country:US
Mailing Address - Phone:346-978-8720
Mailing Address - Fax:
Practice Address - Street 1:9903 S DAIRY ASHFORD RD APT 5902
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2333
Practice Address - Country:US
Practice Address - Phone:346-978-8720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX324290164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse