Individual
HOWARD DATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6880 COMMERCIAL DR # 38, SPRINGFIELD, VA 22151-4201
(571) 721-8012
(703) 451-9669
Mailing address
8229 KINGS CHARTER LN APT G, SPRINGFIELD, VA 22152-4112
(571) 721-8012
(703) 451-9669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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