Individual
ZORINA MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19785 CRYSTAL ROCK DRIVE, SUITE 209, GERMANTOWN, MD 20874
(301) 515-2901
(301) 515-5950
Mailing address
19785 CRYSTAL ROCK DRIVE, SUITE 209, GERMANTOWN, MD 20874
(301) 515-2901
(301) 515-2902
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003167
ILLINOIS
IL
Enumeration date
08/19/2008
Last updated
04/24/2014
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