FANTA BOMPORO KOROMA

LAUREL, MD
NPI1912599317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies376K00000X Nurse's Aide
171M00000X Case Manager/Care Coordinator
374U00000X Home Health Aide
(Licence: DC  HHA200005664)
251S00000X Community/Behavioral Health
Enumeration Date2021-02-07
Last Update Date2025-10-23
Business Address
FANTA BOMPORO KOROMA
9522 MUIRKIRK RD APT 301
LAUREL, MD 20708-2736
Phone number: 240-485-7735
Mailing Address
FANTA BOMPORO KOROMA
9522 MUIRKIRK RD APT 301
LAUREL, MD 20708-2736
Phone number: 240-485-7735