Individual
MOHAMED IBRAHIM KOROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
(202) 388-4339
Mailing address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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