Organization
THE MANE JOURNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONNA DAVIS (OWNER)
(864) 363-1867
Entity
Organization
Contact information
Practice address
3523 COVERED BRIDGE LANE, WOODBRIDGE, VA 22192
(864) 363-1867
Mailing address
3523 COVERED BRIDGE LANE, WOODBRIDGE, VA 22192
(864) 363-1867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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