CORNELIUS FOMELACHFOSSUNG

WASHINGTON, DC
NPI1316401979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: DC  HHA14256)
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
CORNELIUS FOMELACHFOSSUNG
4201 9TH ST NW
WASHINGTON, DC 20011-7217
Phone number: 202-247-1076
Mailing Address
CORNELIUS FOMELACHFOSSUNG
4201 9TH ST NW
WASHINGTON, DC 20011-7217
Phone number: 202-247-1076
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