Provider Demographics
NPI:1699032722
Name:DJATANG, SYLVIE AMELIE (HHA)
Entity type:Individual
Prefix:
First Name:SYLVIE
Middle Name:AMELIE
Last Name:DJATANG
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:SYLVIE
Other - Middle Name:AMELIE
Other - Last Name:NOUTAT EPSE DJATANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3221 TOLEDO PL APT 202
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-8112
Mailing Address - Country:US
Mailing Address - Phone:202-545-0935
Mailing Address - Fax:
Practice Address - Street 1:1513 FOREST VIEW DR
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2836
Practice Address - Country:US
Practice Address - Phone:240-552-4583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
DCHHA2136374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide