Individual
DEVOLOS FOMBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9799 GOOD LUCK RD APT 11, SEABROOK, MD 20706-3348
(346) 702-0640
Mailing address
9799 GOOD LUCK RD APT 11, SEABROOK, MD 20706-3348
(346) 702-0640
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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