Provider Demographics
NPI:1164277935
Name:ENJEI, SONNIA TEKE III
Entity type:Individual
Prefix:
First Name:SONNIA
Middle Name:TEKE
Last Name:ENJEI
Suffix:III
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 1:11102 MAIDEN DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3586
Mailing Address - Country:US
Mailing Address - Phone:240-960-1868
Mailing Address - Fax:
Practice Address - Street 1:11102 MAIDEN DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3586
Practice Address - Country:US
Practice Address - Phone:240-960-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator