Koroma, Fanta Bomporo

Koroma, Fanta Bomporo is an sole proprietor health care provider with primary practice located at 9522 Muirkirk Rd Apt 301 , Laurel MD 20708-2736. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health, Nursing Service Related Providers / Nurse's Aide, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Koroma, Fanta Bomporo can be contacted via phone (240) 485-7735.

Contact Information

Primary practice address
9522 Muirkirk Rd Apt 301 Laurel MD 20708-2736
Phone: (240) 485-7735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Community/Behavioral Health 251S00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1912599317
LBN Legal business name Koroma, Fanta Bomporo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2021
Last updated Apr 29th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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