Organization
SIGNATUREMEDICALSERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SONNIE E ABEBAKU (ADMINISTRATOR)
(877) 271-9620
Entity
Organization
Contact information
Practice address
619 AVIS DR, LARGO, MD 20774-2283
(877) 271-9620
(800) 671-9167
Mailing address
619 AVIS DR, LARGO, MD 20774-2283
(877) 271-9620
(800) 671-9167
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
22039
MD
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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