Individual
LIDWINA BOHMBED FONMBOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6838 RIVERDALE RD APT 101, LANHAM, MD 20706-1046
(240) 423-7155
Mailing address
6838 RIVERDALE RD APT 101, LANHAM, MD 20706-1046
(240) 423-7155
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
12971
DC
374U00000X
Home Health Aide
Primary
HHA12971
DC
Other
Enumeration date
10/10/2017
Last updated
11/01/2017
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