Organization
VITAL MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRY VALDEZ (OWNER/DIRECTOR)
(703) 782-9327
Entity
Organization
Contact information
Practice address
6399 LITTLE RIVER TPKE, STE 201, ALEXANDRIA, VA 22312-5093
(703) 782-9327
(703) 782-9365
Mailing address
11715 FAIRFAX WOODS WAY APT 9103, FAIRFAX, VA 22030-8345
(703) 782-9327
(703) 782-9365
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1720526
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720526
—
VA
Enumeration date
07/08/2016
Last updated
04/27/2017
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