IndividualActive
Ashungafack Fozao Azendem
NPI 1891508644 · Community Health Worker · Landover Hills, MD
Provider details
- NPI number
- 1891508644
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
3982 Warner Ave Apt A1
Landover Hills, MD 20784-2001
Phone: (240) 960-9866
Approximate (ZIP-level) locationGet directions
Mailing address
3982 Warner Ave Apt A1
Landover Hills, MD 20784-2001
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.