Individual
CLINTON VENAYUMO FANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(227) 215-5452
Mailing address
12811 7TH ST, BOWIE, MD 20720-3618
(227) 215-5452
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
09/10/2025
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