Individual
FOBESSONG BELOHANQUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 KENNEDY ST NW, WASHINGTON, DC 20011-2913
(202) 722-1725
Mailing address
4706 CHEROKEE ST APT 101, COLLEGE PARK, MD 20740-1871
(240) 495-4370
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA15028
—
DC
Enumeration date
02/19/2020
Last updated
02/19/2020
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