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1538688684
JULIUS FOMENGIA
HYATTSVILLE, MD
NPI
1538688684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R148632)
Enumeration Date
2017-09-10
Last Update Date
2022-07-21
Business Address
Dr. JULIUS FOMENGIA
7411 RIGGS RD STE 210
HYATTSVILLE, MD 20783-4246
Phone number: 240-463-3357
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Mailing Address
Dr. JULIUS FOMENGIA
7411 RIGGS RD STE 210
HYATTSVILLE, MD 20783-4246
Phone number: 240-463-3357
Copy
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