Organization
FAIRFAX DME SUPPLIER
Active
Organization
FAIRFAX DME SUPPLIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUYNH DINH (OWNER)
(703) 220-6180
Entity
Organization
Contact information
Practice address
6400 SEVEN CORNERS PL STE F, FALLS CHURCH, VA 22044-2031
(703) 220-6180
Mailing address
6400 SEVEN CORNERS PL STE F, FALLS CHURCH, VA 22044-2031
(703) 220-6180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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