Organization
DURABLE MEDICAL EQUIPMENT SUPPLIES
Active
Organization
DURABLE MEDICAL EQUIPMENT SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL AFEWORK (PRESIDENT)
(703) 945-2185
Entity
Organization
Contact information
Practice address
80 S VAN DORN ST APT 109, ALEXANDRIA, VA 22304-4203
(703) 945-2185
Mailing address
80 S VAN DORN ST APT 109, ALEXANDRIA, VA 22304-4203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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