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Individual

ABEN FOMBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1414 UPSHUR ST NW APT 201, WASHINGTON, DC 20011-5552
(202) 940-3606
Mailing address
1414 UPSHUR ST NW APT 201, WASHINGTON, DC 20011-5552
(202) 940-3606

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/30/2021
Last updated
09/30/2021
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