Organization
VA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARISI JENNY DUMERENE (DIRECTOR)
(703) 623-8800
Entity
Organization
Contact information
Practice address
4810 BEAUREGARD ST, ALEXANDRIA, VA 22312-1709
(703) 623-8800
(703) 347-9639
Mailing address
8233 FRESNO LN, UNIT 103, ALEXANDRIA, VA 22309-3633
(703) 623-8800
(703) 347-9639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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