Organization
MANNY-NELSON MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL DELA CRUZ (C.E.O.)
(757) 227-6844
Entity
Organization
Contact information
Practice address
1612 CENTERVILLE TURNPIKE, SUITE 308, VIRGINIA BEACH, VA 23464
(757) 227-6844
Mailing address
1612 CENTERVILLE TURNPIKE, SUITE 308, VIRGINIA BEACH, VA 23464
(757) 227-6844
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2013-253127-R
VA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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