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Cuttupndyed

Specialist, Prosthetics Case Management in Smithfield, VA. Organization (NPI-2).

NPI number1043604366
StatusActive
Last updated in NPPESMar 25, 2015

Details

NPI
1043604366
Entity type
Organization (NPI-2)
Legal business name
Cuttupndyed
Organization subpart
No
Enumeration date
Mar 25, 2015
Last updated
Mar 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1744P3200X Specialist, Prosthetics Case Management––Yes

Practice location

14110 Burwells Bay Rd
Smithfield, VA 23430-3711

Phone 443-453-7889

Mailing address

14110 Burwells Bay Rd
Smithfield, VA 23430-3711

Phone 443-453-7889

Authorized official

Alyssia Cassandra Edwards
Specialist
4434537889

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