Individual
ANNETTE FOMBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11006 VEIRS MILL RD, SUITE L-15-299, SILVER SPRING, MD 20902-2582
(202) 681-9661
Mailing address
23 FIELDSTONE CT, SILVER SPRING, MD 20905-7436
(240) 481-7684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R198464
MD
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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