Provider Demographics
NPI:1952081952
Name:FADJEU DJIENTCHEU, JULIETTE MARCELLE
Entity Type:Individual
Prefix:
First Name:JULIETTE
Middle Name:MARCELLE
Last Name:FADJEU DJIENTCHEU
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 1:2627 STANTON RD SE APT 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4476
Mailing Address - Country:US
Mailing Address - Phone:240-370-3169
Mailing Address - Fax:
Practice Address - Street 1:2627 STANTON RD SE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4476
Practice Address - Country:US
Practice Address - Phone:240-370-3169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker