Provider Demographics
NPI:1962214221
Name:NKONGHO EPSE EYONG, CECILIA ASHU
Entity type:Individual
Prefix:
First Name:CECILIA ASHU
Middle Name:
Last Name:NKONGHO EPSE EYONG
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 1:10907 ATWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3501
Mailing Address - Country:US
Mailing Address - Phone:202-631-2976
Mailing Address - Fax:
Practice Address - Street 1:10907 ATWELL AVE
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3501
Practice Address - Country:US
Practice Address - Phone:202-631-2976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide