Healthcare Provider Details

I. General information

NPI: 1851207427
Provider Name (Legal Business Name): PATRICIA DURAN BEAUTY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 OLD FRANCONIA RD STE B
ALEXANDRIA VA
22310-2529
US

IV. Provider business mailing address

77 DOROTHY LN
STAFFORD VA
22554-1598
US

V. Phone/Fax

Practice location:
  • Phone: 540-681-9121
  • Fax:
Mailing address:
  • Phone: 540-681-9121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA DURAN GOMEZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 540-681-9121