Organization
REVOLUTION COLOUR STUDIO, INC
Active
Other names
Revolution Colour Studio
Organization subpart
No
Provider details
NPI number
Authorized official
JYLL KAUFFMAN (CEO)
(703) 623-5955
Entity
Organization
Contact information
Practice address
6801 WHITTIER AVE STE 200, MC LEAN, VA 22101-4534
(703) 623-5955
Mailing address
6801 WHITTIER AVE STE 200, MC LEAN, VA 22101-4534
(703) 623-5955
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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