Provider Demographics
NPI:1639961022
Name:NJAMFA, ANGELINE NCHAKO
Entity type:Individual
Prefix:
First Name:ANGELINE
Middle Name:NCHAKO
Last Name:NJAMFA
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 1:672 QUAIL RUN CIR
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-7032
Mailing Address - Country:US
Mailing Address - Phone:350-900-4474
Mailing Address - Fax:
Practice Address - Street 1:2311 N TRACY BLVD STE A
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-2426
Practice Address - Country:US
Practice Address - Phone:350-900-4474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA394700062374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide