Organization
TANGLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WILLIAMS (OWNER)
(757) 510-7603
Entity
Organization
Contact information
Practice address
1207 N MILITARY HWY, STE101, NORFOLK, VA 23502-2231
(757) 510-7603
Mailing address
1207 N MILITARY HWY, STE101, NORFOLK, VA 23502-2231
(757) 510-7603
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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