Provider Demographics
NPI:1619868049
Name:MIAME EPSE TIMTCHOU, LENINE BRIGITTE
Entity type:Individual
Prefix:
First Name:LENINE BRIGITTE
Middle Name:
Last Name:MIAME EPSE TIMTCHOU
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 1:3322 CHAUNCEY PL APT 103
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1024
Mailing Address - Country:US
Mailing Address - Phone:240-334-1495
Mailing Address - Fax:
Practice Address - Street 1:3322 CHAUNCEY PL APT 103
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1024
Practice Address - Country:US
Practice Address - Phone:240-334-1495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide