Organization
ABBA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKOSUA KWABIAH (VICE PRESIDENT)
(703) 472-4324
Entity
Organization
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, SUITE 411, WOODBRIDGE, VA 22191-3908
(703) 472-4324
Mailing address
29 BRUSHY CREEK CIR, FREDERICKSBURG, VA 22406-8442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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