# MR. CALEB FORKWA FOMBEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376988832
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA6571 | WA | Yes |
| 374U00000X | Home Health Aide | HHA6571 | WA | — |

## Other

- **Enumeration date:** 05/09/2013
- **Last updated:** 05/09/2013