Individual
STERLA N FOMINYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 3RD ST NE, WASHINGTON, DC 20011-6331
(480) 823-1255
Mailing address
5210 3RD ST NE, WASHINGTON, DC 20011-6331
(480) 823-1255
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276591562
—
MD
Enumeration date
09/09/2020
Last updated
01/28/2025
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