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

Wilson Chick Fanso Fomukom

Individual provider Home Health Aide · NPI 1912719717

Wilson Chick Fanso Fomukom is a Home Health Aide in Bowie, Maryland. Registered with an NPI since 2025.

In the registry since
2025
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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 We do not publish it.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.

Bowie, MD

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Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1912719717
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

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