Individual
FOGWE FOMBO WINIFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 723-3060
Mailing address
5180 EASTERN AVENEWNE #303, WASHINGTON, DC 20011
(980) 255-2826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1009005
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/05/2015
Last updated
10/03/2024
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