Provider Demographics
NPI:1386902427
Name:TSOUNGUI, JUSTINE M
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:M
Last Name:TSOUNGUI
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 1:11558 LOCKWOOD DR
Mailing Address - Street 2:APT D2
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2433
Mailing Address - Country:US
Mailing Address - Phone:240-476-6829
Mailing Address - Fax:
Practice Address - Street 1:11558 LOCKWOOD DR
Practice Address - Street 2:APT D2
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2433
Practice Address - Country:US
Practice Address - Phone:240-476-6829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide