Organization · Type 2 NPI
Fabulous Weave , LLC
Customized Equipment (DME) · Waldorf, MD
NPI number
1083960801
Active
Practice location
10595 Sourwood Ave
Waldorf, MD 20603-5730
Fax (301) 645-9611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1083960801
Fabulous Weave , LLC's National Provider Identifier is 1083960801, issued on Jul 30, 2012. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Waldorf, MD. The record was last updated on Jul 30, 2012.