Organization
MIKE'S HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALWUAN R. WILLIAMS (PRESIDENT)
(703) 680-2225
Entity
Organization
Contact information
Practice address
5504 STAPLES MILL PLZ, WOODBRIDGE, VA 22193-3247
(703) 680-2225
(703) 680-2011
Mailing address
5504 STAPLES MILL PLZ, WOODBRIDGE, VA 22193-3247
(703) 680-2225
(703) 680-2011
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206009425
VA
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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