Individual
MR. ALIMIE KOROMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6120 KANSAS AVE NW, WASHINGTON, DC 20011
(202) 829-1719
(202) 722-4719
Mailing address
11 APPLEDOWRE CT, GERMANTOWN, MD 20876-5513
(301) 537-2883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP1005745
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
901969194
CARE FIRST BLUECHOICE
—
Enumeration date
07/14/2020
Last updated
07/14/2020
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