Organization
NIYADELL, INC
Active
Other names
Brahm Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY LYNN BENJAMIN LDO (PRESIDENT)
(703) 751-2800
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 101, ALEXANDRIA, VA 22304-1306
(703) 751-2800
(703) 751-3771
Mailing address
4660 KENMORE AVE, SUITE 101, ALEXANDRIA, VA 22304-1306
(703) 751-2800
(703) 751-3771
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101001255
VA
Other
Enumeration date
01/09/2007
Last updated
02/15/2008
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