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Individual

VICTOR FOMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1420 K ST NW, WASHINGTON, DC 20005-2500
(202) 293-2931
Mailing address
1420 K ST NW, WASHINGTON, DC 20005-2500

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 1024462
DC

Other

Enumeration date
06/16/2014
Last updated
06/16/2014
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