Organization
GAITHERSBURG DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNISHA INEZ SHEPHERD (OWNER)
(240) 888-3679
Entity
Organization
Contact information
Practice address
18600 PHOEBE WAY, GAITHERSBURG, MD 20879-1755
(240) 888-3679
Mailing address
18600 PHOEBE WAY, GAITHERSBURG, MD 20879-1755
(240) 888-3679
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MD
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
Update your record
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