Provider Demographics
NPI:1639946346
Name:NGOJE, EZEKIA OYUGI
Entity type:Individual
Prefix:
First Name:EZEKIA
Middle Name:OYUGI
Last Name:NGOJE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 151ST PL SE
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6729
Mailing Address - Country:US
Mailing Address - Phone:352-440-0457
Mailing Address - Fax:
Practice Address - Street 1:322 151ST PL SE
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-6729
Practice Address - Country:US
Practice Address - Phone:079-246-2854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANA61385154376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide