Organization
DOMINION MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TEREZ L PATTERSON B.A (OWNER/MANAGER)
(757) 201-5398
Entity
Organization
Contact information
Practice address
4110 GRANBY ST, NORFOLK, VA 23508
(757) 201-5398
Mailing address
4110 GRANBY ST, NORFOLK, VA 23504-1108
(757) 201-5398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
904518
VA
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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