Provider Demographics
NPI:1982407391
Name:EKOKOBE, MARIE CLARE NGUNYI I
Entity type:Individual
Prefix:
First Name:MARIE CLARE
Middle Name:NGUNYI
Last Name:EKOKOBE
Suffix:I
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 JASPER RD SE APT 402
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-8013
Mailing Address - Country:US
Mailing Address - Phone:661-578-8698
Mailing Address - Fax:
Practice Address - Street 1:2825 JASPER RD SE APT 402
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-8013
Practice Address - Country:US
Practice Address - Phone:661-578-8698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator