Organization
NAOMI WIGS
Active
Organization
NAOMI WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG H. HWANG (OWNER)
(703) 360-5751
Entity
Organization
Contact information
Practice address
6050 GORGAS RD, BLDG2303, FORT BELVOIR, VA 22060
(703) 360-5751
(703) 360-5751
Mailing address
6901 SECURITY BLVD UNIT 545, BALTIMORE, MD 21244
(410) 277-0377
(410) 277-0377
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
VA
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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