Organization
AIZNNER USA ENOCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OK JA PARK (PRESIDENT)
(703) 887-5511
Entity
Organization
Contact information
Practice address
12805 MADELEY CT, FAIRFAX, VA 22033
(703) 650-0822
(571) 287-7427
Mailing address
12805 MADELEY CT, FAIRFAX, VA 22033
(703) 650-0822
(571) 287-7427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/20/2009
Last updated
02/28/2011
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