Provider Demographics
NPI:1588925341
Name:DJATEMA, TIGADOGUEDA BRIGITTE (HHA)
Entity type:Individual
Prefix:
First Name:TIGADOGUEDA
Middle Name:BRIGITTE
Last Name:DJATEMA
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6816 RED TOP RD APT 4
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5905
Mailing Address - Country:US
Mailing Address - Phone:240-602-5873
Mailing Address - Fax:
Practice Address - Street 1:2101 RHODE ISLAND AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2836
Practice Address - Country:US
Practice Address - Phone:202-526-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide