Organization
ESTN85
Active
Other names
estn85 medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
NADIR DOUGLAS (COO)
(202) 415-7497
Entity
Organization
Contact information
Practice address
332 HIGHLAND DR APT T3, GLEN BURNIE, MD 21061-5988
(202) 415-7497
Mailing address
332 HIGHLAND DR APT T3, GLEN BURNIE, MD 21061-5988
(202) 415-7497
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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