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

Individual provider Community/Behavioral Health Agency · NPI 1750851234

Odette Ngum Fominyam is a Community/Behavioral Health Agency in Bowie, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

4806 Willes Vision Dr
Bowie, MD 20720-4671
Phone: (240) 616-8239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Home Health Aide Taxonomy 374U00000X · Licence HHA14118 (DC)

Record details

NPI number1750851234
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 28, 2018
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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