Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Divine Fomulyam

Individual provider Personal Care Attendant · NPI 1629772629

Divine Fomulyam is a Personal Care Attendant in Washington, District of Columbia. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Washington, DC

No coordinates on file. Search this address in Google Maps

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1629772629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023

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