Provider Demographics
NPI:1598026056
Name:BIKOI NKAA, JEAN JACQUES
Entity type:Individual
Prefix:
First Name:JEAN JACQUES
Middle Name:
Last Name:BIKOI NKAA
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 1:13504 ATTLEBORO CT
Mailing Address - Street 2:APT. # 23
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1557
Mailing Address - Country:US
Mailing Address - Phone:202-230-4804
Mailing Address - Fax:
Practice Address - Street 1:13504 ATTLEBORO CT
Practice Address - Street 2:APT. # 23
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1557
Practice Address - Country:US
Practice Address - Phone:202-230-4804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide