Provider Demographics
NPI:1104618016
Name:TEKE, ZITORINE ENJEI
Entity type:Individual
Prefix:
First Name:ZITORINE
Middle Name:ENJEI
Last Name:TEKE
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 1:1223 CHILLUM RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2237
Mailing Address - Country:US
Mailing Address - Phone:917-833-6872
Mailing Address - Fax:
Practice Address - Street 1:1223 CHILLUM RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2237
Practice Address - Country:US
Practice Address - Phone:917-833-6872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker