Individual
DIVINE FOMULYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 L ST SW, WASHINGTON, DC 20024-3607
(240) 899-4815
Mailing address
14912 DOVEHEART LN, BOWIE, MD 20721-3079
(240) 548-7667
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us