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Organization

DISTRICT MEDICAL SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKOLE RACHELLE BRADBURN (COO)
(301) 322-9260
Entity
Organization

Contact information

Practice address
1801 BELLE HAVEN DR, 302, HYATTSVILLE, MD 20785-4022
(301) 322-9260
(301) 322-9171
Mailing address
1801 BELLE HAVEN DR, 302, HYATTSVILLE, MD 20785-4022
(301) 322-9260
(301) 322-9171

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
000000
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000
MD

Other

Enumeration date
07/25/2007
Last updated
07/26/2007
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