Organization
HOLISTIC MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE UDO (PRESIDENT)
(301) 595-3477
Entity
Organization
Contact information
Practice address
11605 EDMONSTON ROAD, BELTSVILLE, MD 20705
(301) 595-3477
Mailing address
13927 WESTVIEW FOREST DR, BOWIE, MD 20720-4866
(301) 595-3477
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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