Organization
CCE MEDICAL & NURSING SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA CARBAJAL MASHTARE LPN (ADMINISTRATOR)
(757) 672-4288
Entity
Organization
Contact information
Practice address
3217 BARLBOROUGH WAY, VIRGINIA BEACH, VA 23453-3050
(757) 672-4288
(757) 301-6348
Mailing address
4239 HOLLAND RD STE 784 PMB 669, VIRGINIA BEACH, VA 23452-1941
(757) 672-4288
(757) 301-6348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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