Provider Demographics
NPI:1780118471
Name:TOMEZE NGUEMEWE, ARIELLE NADEGE
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:NADEGE
Last Name:TOMEZE NGUEMEWE
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 1:1714 E ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4610
Mailing Address - Country:US
Mailing Address - Phone:240-338-4329
Mailing Address - Fax:
Practice Address - Street 1:1714 E ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4610
Practice Address - Country:US
Practice Address - Phone:240-338-4329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12710374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide