THEODORE BENYELLA FOMUNYAM

WASHINGTON, DC
NPI1952101719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-03-19
Last Update Date2025-04-07
Business Address
THEODORE BENYELLA FOMUNYAM
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019-1127
Phone number: 202-839-5310
Mailing Address
THEODORE BENYELLA FOMUNYAM
10419 STONE PINE AVE
WALDORF, MD 20603-5797
Phone number: 301-851-1176
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