Individual
SIDNEY BOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
7805 MANDAN RD APT 202, GREENBELT, MD 20770-2135
(202) 545-0935
Mailing address
7805 MANDAN RD APT 202, GREENBELT, MD 20770-2135
(202) 545-0935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X-
—
MD
Enumeration date
05/22/2012
Last updated
03/15/2024
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