Individual provider · Type 1 NPI

Cornelius Fomelachfossung Sr.

Home Health Aide · Washington, DC

NPI number 1316401979 Active

About NPI 1316401979

Cornelius Fomelachfossung Sr.'s National Provider Identifier is 1316401979, issued on Jan 29, 2019. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Washington, DC. The record was last updated on Jan 29, 2019.