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STATS MEDICAL SUPPLIES & EQUIPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OLUSHOLA E FASHINA (CEO)
(301) 617-0066
Entity
Organization

Contact information

Practice address
10760 HICKORY RIDGE RD, SUITE 123, COLUMBIA, MD 21044-3682
(301) 617-0066
(443) 542-9372
Mailing address
10760 HICKORY RIDGE RD, SUITE 123, COLUMBIA, MD 21044-3682
(301) 617-0066
(443) 542-9372

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
R2412
MD

Other

Enumeration date
02/29/2008
Last updated
04/18/2011
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