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Divine Fominka
NPI 1841154010 · on the registry since 2025 · sole proprietor
Practice
- Address
- 908 Lake Front Dr
Bowie, MD 20721 - Phone
- (719) 725-9850
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Home Health Aide
374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-12
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