Most Relevant Information
Provider Data
| NPI Number: | 1003343559 |
| Provider Name: | LUCAS KEMINDA AYONG |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | 12733 |
Most Important Dates
| Enumeration Date: | 05/15/2017 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
2010 RHODE ISLAND AVE NE
WASHINGTON
DC
200182835
Practice Location Phone/Fax
| Phone: | 2404674367 |
| Fax: |
Provider Mailing Location
6735 NEW HAMPSHIRE AVE APT 901
TAKOMA PARK
MD
209122832
Provider Mailing Phone/Fax
| Phone: | 2404674367 |
| Fax: |