Provider Demographics
NPI:1811275688
Name:ASONG, CHRISTENSIA AKUNJU (REVEREND)
Entity type:Individual
Prefix:
First Name:CHRISTENSIA
Middle Name:AKUNJU
Last Name:ASONG
Suffix:
Gender:F
Credentials:REVEREND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6817 RED TOP ROAD
Mailing Address - Street 2:# 5
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912
Mailing Address - Country:US
Mailing Address - Phone:202-386-5515
Mailing Address - Fax:
Practice Address - Street 1:6817 RED TOP ROAD
Practice Address - Street 2:# 5
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912
Practice Address - Country:US
Practice Address - Phone:202-386-5515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide