Doctor Name: | MRS. SYLVIE T TCHUINDJO |
NPI Number: | 1124406749 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R189013 |
Business Practice Address: | 14121 Parke Long Ct Chantilly, VA - 201511647 |
Business Phone Number: | 5714463780 |
Business Fax Number: | |
Mailing Address: | 9210 Cedarcrest Dr, BETHESDA |
State: | MD |
Postal Code: | 208142863 |
Phone Number: | 2404217318 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2015 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R189013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |