Individual
BENARD NTEHMBO FOMINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 24TH ST NE # E, WASHINGTON, DC 20018-2126
(202) 832-8340
Mailing address
9873 GOOD LUCK RD APT 10, LANHAM, MD 20706-3230
(240) 468-1129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1046452
DC
Other
Enumeration date
09/26/2013
Last updated
03/01/2024
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