Individual provider · NPI-1

Chioma Osisioma Fynewood

Home Health Aide · Bowie, MD

NPI number1053674473
StatusActive
Last updated in NPPESJun 20, 2012

Details

NPI
1053674473
Entity type
Individual (NPI-1)
Name
Chioma Osisioma Fynewood
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2012
Last updated
Jun 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–DCYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

14406 Woodmore Oaks Ct
Bowie, MD 20721-3012

Phone 202-509-4383

Mailing address

14406 Woodmore Oaks Ct
Bowie, MD 20721-3012

Phone 202-509-4383

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