Provider Demographics
NPI:1447634340
Name:NJILONGNING, ZITA
Entity type:Individual
Prefix:
First Name:ZITA
Middle Name:
Last Name:NJILONGNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3257 QUEENSTOWN DR APT 303
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1071
Mailing Address - Country:US
Mailing Address - Phone:240-413-6368
Mailing Address - Fax:
Practice Address - Street 1:3257 QUEENSTOWN DR APT 303
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1071
Practice Address - Country:US
Practice Address - Phone:240-413-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11399374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide