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Bra-La-La

NPI #1144471590 in Fulton, Maryland

Provider Information

NPI Number
1144471590
Entity Type
Organization
Organization Name
Bra-La-La
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 3, 2008
Last Updated
Oct 3, 2008

Practice Location

Address
8180 MAPLE LAWN BLVD
Address 2
SUITE B
City
Fulton
State
Maryland
ZIP Code
20759-2524
Phone
(301) 776-6007

Authorized Official

Name
MARY JORDAN
Title
OWNER
Phone
(301) 776-6007

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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