Organization
FULLY CONFIDENT RESTWEAR INC.
Active
Organization
FULLY CONFIDENT RESTWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERREE JOYCE WILSON CEO/CFM (OWNER/ FITTER)
(757) 595-3488
Entity
Organization
Contact information
Practice address
603 J CLYDE MORRIS BLVD, SUITE #4, NEWPORT NEWS, VA 23601-1826
(757) 595-3488
Mailing address
4417 BRENT ST, SUFFOLK, VA 23435-2528
(757) 686-8338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8863142008
VA
Other
Enumeration date
01/25/2008
Last updated
09/05/2008
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