Most Relevant Information
Provider Data
| NPI Number: | 1003177486 |
| Provider Name: | AUGUSTIN FABRICE NGUEKAM |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | N-225-074-244-577 |
Most Important Dates
| Enumeration Date: | 06/01/2012 |
| Last Updated: | 08/17/2023 |
Provider Practice Location
7600 GEORGIA AVENIE
WASHINGTON
DC
20012
Practice Location Phone/Fax
| Phone: | 2027233060 |
| Fax: | 2027233065 |
Provider Mailing Location
7600 GEORGIA AVENIE
WASHINGTON
DC
20012
Provider Mailing Phone/Fax
| Phone: | 2027233060 |
| Fax: | 2027233065 |