Provider Demographics
NPI:1831436732
Name:NDEKEJA, REBECCA M
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:NDEKEJA
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 1:9005 LOCUST SPRING RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1854
Mailing Address - Country:US
Mailing Address - Phone:240-898-7161
Mailing Address - Fax:
Practice Address - Street 1:9005 LOCUST SPRING RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1854
Practice Address - Country:US
Practice Address - Phone:240-898-7161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide