Individual
PATRICK KOROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 42ND ST S APT 105, FARGO, ND 58104-6923
(614) 615-7987
Mailing address
3330 42ND ST S APT 105, FARGO, ND 58104-6923
(614) 615-7987
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
247200000X
Other Technician
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/16/2023
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