Organization
DUBOLS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YEWANDE D AWOYEMI (ADMINISTRATOR)
(301) 497-8968
Entity
Organization
Contact information
Practice address
14440 CHERRY LANE CT, SUITE 101, LAUREL, MD 20707-4946
(301) 497-8968
(301) 490-8668
Mailing address
14440 CHERRY LANE CT, SUITE 101, LAUREL, MD 20707-4946
(301) 497-8968
(301) 490-8668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421136700
—
MD
01
—
R3147
STATE OF MD (DHMH)
MD
Enumeration date
12/26/2012
Last updated
12/26/2012
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