Provider Demographics
NPI:1427874221
Name:ENYINNAYA, PRECIOUS
Entity type:Individual
Prefix:MRS
First Name:PRECIOUS
Middle Name:
Last Name:ENYINNAYA
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 1:16406 PLEASANT HILL CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1764
Mailing Address - Country:US
Mailing Address - Phone:240-898-8086
Mailing Address - Fax:
Practice Address - Street 1:16406 PLEASANT HILL CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1764
Practice Address - Country:US
Practice Address - Phone:240-898-8086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator