Provider Demographics
NPI:1962240960
Name:NTSOU, STOWARD NEMBU
Entity type:Individual
Prefix:
First Name:STOWARD
Middle Name:NEMBU
Last Name:NTSOU
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 1:1713 TORRANCE AVE
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-7353
Mailing Address - Country:US
Mailing Address - Phone:240-795-7454
Mailing Address - Fax:
Practice Address - Street 1:1713 TORRANCE AVE
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-7353
Practice Address - Country:US
Practice Address - Phone:240-795-7454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide