Provider Demographics
NPI:1194084459
Name:TOMPE, CHRISTELLE GAELLE YITEMBE
Entity type:Individual
Prefix:
First Name:CHRISTELLE GAELLE
Middle Name:YITEMBE
Last Name:TOMPE
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 1:8681 GRENBELT ROAD
Mailing Address - Street 2:APT 102
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770
Mailing Address - Country:US
Mailing Address - Phone:301-979-0223
Mailing Address - Fax:
Practice Address - Street 1:8681 GREENBELT RD
Practice Address - Street 2:APT 102
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2433
Practice Address - Country:US
Practice Address - Phone:301-979-0223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDN-320-115-271-330374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide