NPI 1194378737

Fauquier Hospital Auxiliary

Organisation Mastectomy Fitter Warrenton, VA

Practice location

Address: 500 Hospital Dr The Care Boutique, Warrenton, VA 20186
Phone: (540) 316-4437

Authorised official

Name: Diane Marie von Goellner-Suppa
Title: Manager
Phone: (540) 316-4437

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1194378737
Entity type: Organization
NPI issued: 23 Jul 2019
Record last updated: 23 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.