Organization
ADVANCED MEDICAL STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN SERGENTON (PRESIDENT)
(703) 371-1344
Entity
Organization
Contact information
Practice address
12608 LAKE RIDGE DR STE A, WOODBRIDGE, VA 22192-2389
(703) 499-9099
(703) 499-9077
Mailing address
12608 LAKE RIDGE DR STE A, WOODBRIDGE, VA 22192-2389
(703) 499-9099
(703) 499-9077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-09518
VA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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