Provider Demographics
NPI:1437952439
Name:TIJIE, PHILOMENE LUM
Entity type:Individual
Prefix:
First Name:PHILOMENE LUM
Middle Name:
Last Name:TIJIE
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 1:6001 CHERRYWOOD CT APT 102
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-5285
Mailing Address - Country:US
Mailing Address - Phone:571-316-8299
Mailing Address - Fax:
Practice Address - Street 1:6001 CHERRYWOOD CT APT 102
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-5285
Practice Address - Country:US
Practice Address - Phone:571-316-8299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide