Ngwesse Ajang Elvis Sr., CPR,CG,AD
Contractor in Edmond, OK. Individual provider (NPI-1).
NPI number1295608859
StatusActive
Last updated in NPPESNov 9, 2025
Details
- NPI
- 1295608859
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ngwesse Ajang Elvis Sr.
- Credential
- CPR,CG,AD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2025
- Certification date
- Nov 9, 2025
- Last updated
- Nov 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
16417 Ernest CtEdmond, OK 73013-3283
Phone 405-510-4341
Mailing address
16417 Ernest CtEdmond, OK 73013-3283
Phone 405-510-4341
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