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NPI 1376955799 · Customized Equipment (DME) · Fredericksburg, VA
Provider details
- NPI number
- 1376955799
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Paul Desilets, Owner(540) 891-9565
- License
- 2705125500 (VA)
Specialties & taxonomies
Suppliers
Practice location
11615 New Bond St
Fredericksburg, VA 22408-1864
Phone: (540) 891-9565
Approximate (ZIP-level) locationGet directions
Mailing address
11615 New Bond St
Fredericksburg, VA 22408-1864
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2014-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.