Organization
BIOMODAL LLC
Active
Other names
Biomodal Anaplastology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA STEVENSON WON MS (OWNER/OPERATOR)
(919) 906-0287
Entity
Organization
Contact information
Practice address
1233 FRONT ST STE A, RALEIGH, NC 27609-7534
(919) 906-0287
(919) 833-5674
Mailing address
718 DELANY DR, RALEIGH, NC 27610-1614
(919) 906-0287
(919) 833-5674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A
NC
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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