Individual
GIDEON FOMUNYOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HOME HEALTH AIDE
Contact information
Practice address
6110 7TH ST NW, WASHINGTON, DC 20011-1204
(608) 213-6116
Mailing address
6110 7TH ST NW, WASHINGTON, DC 20011-1204
(608) 213-6116
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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