Provider Demographics
NPI:1932062858
Name:KOROMA, FRANCIS
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:KOROMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HAWA
Other - Middle Name:
Other - Last Name:KOROMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FORNAH
Mailing Address - Street 1:2004 PRUETT CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-8035
Mailing Address - Country:US
Mailing Address - Phone:804-852-7378
Mailing Address - Fax:
Practice Address - Street 1:2004 PRUETT CT
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059
Practice Address - Country:US
Practice Address - Phone:804-852-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA11915649163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health