Individual
BERTRAND BOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 WADLOW LN, HANOVER, MD 21076-2299
(301) 682-1311
(301) 682-1311
Mailing address
2307 WADLOW LN, HANOVER, MD 21076-2299
(301) 682-1311
(301) 682-1311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
10/30/2025
Last updated
11/19/2025
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