Fauquier Hospital Auxiliary

NPI #1194378737 in Warrenton, Virginia

Provider Information

NPI Number
1194378737
Entity Type
Organization
Organization Name
Fauquier Hospital Auxiliary
Primary Specialty
Mastectomy Fitter
Enumeration Date
Jul 23, 2019
Last Updated
Jul 23, 2019

Practice Location

Address
500 HOSPITAL DR
Address 2
THE CARE BOUTIQUE
ZIP Code
20186
Phone
(540) 316-4437

Authorized Official

Name
DIANE MARIE VON GOELLNER-SUPPA
Title
MANAGER
Phone
(540) 316-4437

Specialties & Taxonomy Codes

Specialty
Mastectomy Fitter

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