Search › Maryland › 171M00000X
Odette Ngum Fominyam
NPI 1750851234 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4806 Willes Vision Dr
Bowie, MD 20720 - Phone
- (240) 616-8239
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 251S00000X
374U00000X - Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland