Individual
DR. JULIUS FOMENGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7411 RIGGS RD STE 210, HYATTSVILLE, MD 20783-4246
(240) 463-3357
Mailing address
7411 RIGGS RD STE 210, HYATTSVILLE, MD 20783-4246
(240) 463-3357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R148632
MD
Other
Enumeration date
09/10/2017
Last updated
07/21/2022
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