Organization
MSTABSTYLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA J BROCKENBERRY (CEO)
(301) 500-8342
Entity
Organization
Contact information
Practice address
2236 SHADYSIDE AVE, SUITLAND, MD 20746-4810
(301) 500-8342
Mailing address
2236 SHADYSIDE AVE, SUITLAND, MD 20746-4810
(301) 500-8342
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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