Individual
THOMAS ENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC, ATP, NREMTP
Contact information
Practice address
3528 PLUM CRES, VIRGINIA BEACH, VA 23453-2208
(949) 370-0473
Mailing address
3528 PLUM CRES, VIRGINIA BEACH, VA 23453-2208
(949) 370-0473
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
M5029950
—
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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