Organization
BODEN FITNESS DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TRAN MD (OWNER)
(540) 508-0651
Entity
Organization
Contact information
Practice address
3038 VALLEY AVE, WINCHESTER, VA 22601-2637
(540) 508-0651
(540) 508-0841
Mailing address
4 WEEMS LN # 128, WINCHESTER, VA 22601-3602
(540) 508-4853
(540) 585-4081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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