Provider Demographics
NPI:1447138490
Name:SUZANNE NDAFORE EPOUS, UNKNOWN
Entity type:Individual
Prefix:
First Name:UNKNOWN
Middle Name:
Last Name:SUZANNE NDAFORE EPOUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SUZANNE NDAFORE
Other - Middle Name:
Other - Last Name:EPOUSE VUDINGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:12709 MY MOLLIES PRIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-5617
Mailing Address - Country:US
Mailing Address - Phone:240-470-5603
Mailing Address - Fax:
Practice Address - Street 1:12709 MY MOLLIES PRIDE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-5617
Practice Address - Country:US
Practice Address - Phone:240-470-5603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide