Provider Demographics
NPI:1306479977
Name:NGO DJON EPSE NIBA, MARTHE CLARISSE
Entity type:Individual
Prefix:
First Name:MARTHE CLARISSE
Middle Name:
Last Name:NGO DJON EPSE NIBA
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 1:3025 ONTARIO RD NW APT B1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6035
Mailing Address - Country:US
Mailing Address - Phone:240-618-7287
Mailing Address - Fax:
Practice Address - Street 1:3025 ONTARIO RD NW APT B1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6035
Practice Address - Country:US
Practice Address - Phone:240-618-7287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide