Individual
SIDYA MAELEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4201 NORTHVIEW DR, BOWIE, MD 20716-2604
(202) 729-9889
Mailing address
616 DRUM AVE, CAPITOL HEIGHTS, MD 20743-2825
(301) 466-5584
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG10210137
MD
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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