Individual
IRENE ASSI FOMUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(240) 714-1460
Mailing address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 301-5204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
10/02/2023
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