Individual
DIVINE MOFOR FOMINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
908 LAKE FRONT DR, BOWIE, MD 20721-2950
(719) 725-9850
Mailing address
908 LAKE FRONT DR, BOWIE, MD 20721-2950
(719) 725-9850
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005765
DC
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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