Most Relevant Information
Provider Data
| NPI Number: | 1003483595 |
| Provider Name: | ATIM KOROMAH |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | A00154822 |
Most Important Dates
| Enumeration Date: | 06/04/2021 |
| Last Updated: | 06/04/2021 |
Provider Practice Location
1221 TAYLOR ST NW
WASHINGTON
DC
200115617
Practice Location Phone/Fax
| Phone: | 3477986943 |
| Fax: |
Provider Mailing Location
7769 RIVERDALE RD APT 302
NEW CARROLLTON
MD
207843931
Provider Mailing Phone/Fax
| Phone: | 2407149101 |
| Fax: |