Provider Demographics
NPI:1306554647
Name:NZOUAKEU, ALEXANDRE AZIZ
Entity type:Individual
Prefix:
First Name:ALEXANDRE
Middle Name:AZIZ
Last Name:NZOUAKEU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 PHELPS LUCK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2528
Mailing Address - Country:US
Mailing Address - Phone:202-594-1339
Mailing Address - Fax:
Practice Address - Street 1:5721 PHELPS LUCK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2528
Practice Address - Country:US
Practice Address - Phone:202-594-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant