Individual
RITA MFORMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374U00000X
Home Health Aide
HHA11702
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA11702
HOME HEALTH AIDE
DC
Enumeration date
12/09/2015
Last updated
06/20/2023
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