Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesus and Mary Church

Organization Durable Medical Equipment & Medical Supplies · NPI 1104767425

Jesus and Mary Church is a Durable Medical Equipment & Medical Supplies in Woodbridge, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

14970 Potomac Heights Pl Apt 113
Woodbridge, VA 22191-6261
Phone: (929) 410-5754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1104767425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sergio Bolanos — Ceo · (929) 410-5754
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address14970 Potomac Heights Pl Apt 113, Woodbridge, VA 22191-6261

Other providers in Woodbridge