Organization
MEDICAL PRO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERHAN Y DESTA (PRESIDENT)
(757) 227-5493
Entity
Organization
Contact information
Practice address
840 JUNIPER CRES, SUITE 104, CHESAPEAKE, VA 23320-2628
(757) 227-5493
(757) 227-5603
Mailing address
840 JUNIPER CRES, SUITE 104, CHESAPEAKE, VA 23320-2628
(757) 227-5493
(757) 227-5603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
05066
VA
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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