Individual
MOMOH BAI FAHNBULLEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 DOUGLAS AVE, PROVIDENCE, RI 02908-3254
(401) 362-4837
(401) 274-1701
Mailing address
151 DOUGLAS AVE, PROVIDENCE, RI 02908-3254
(401) 362-4837
(401) 274-1701
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
202111
RI
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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