Organization
GREEN VALLEY DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EHAB SHAFIK (PRESIDENT)
(703) 865-5595
Entity
Organization
Contact information
Practice address
3957 PENDER DR, SUITE 104, FAIRFAX, VA 22030-6027
(703) 865-5595
(703) 995-4543
Mailing address
3949 PENDER DR STE 140, FAIRFAX, VA 22030-6088
(703) 865-5595
(703) 995-4543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
02/17/2016
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