Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIVINE FOMBU, CSW
Active Sole ProprietorDIVINE FOMBU, CSW is a Case Manager healthcare provider located in LAUREL, Maryland. NPI 1891051413 is currently active in the NPPES registry. Verify at CMS.
Case Manager · LAUREL, MD
Registration Details
- NPI Number
- 1891051413
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2012 (14.171650062199 yrs)
- Last Updated
- Dec 13, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
13817 BRIARWOOD DR APT 1123LAUREL, MD, 207081345Browse MD providers · Browse ZIP 20708
- Phone
- 2404763253
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in LAUREL, MD
| Name | Credential | NPI |
|---|---|---|
| DOMINIC TARLISHI | HHA | 1528328218 |
| ADETOLA AFOLABI | — | 1033470265 |
| ELVIS Y CHI | HHA | 1760743579 |
| QUINTA ATAM NDI | — | 1164779641 |
| JOYSLINE KETUM | — | 1427307891 |
| ACHU N MBIDE | — | 1710238399 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.