Organization
FREDERICKSBURG DME
Active
Other names
Fredericksburg Durable Medical Equipment Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LEWIS RENO DC, CCIC, ICCSP (DIRECTOR)
(540) 785-0200
Entity
Organization
Contact information
Practice address
4500 PLANK RD STE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
(540) 785-0660
Mailing address
4500 PLANK RD STE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
(540) 785-0660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555960
VA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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