Individual
JUANITA THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 MARY EVELYN WAY, ALEXANDRIA, VA 22309-8226
(571) 481-6230
Mailing address
3750 MARY EVELYN WAY, ALEXANDRIA, VA 22309-8226
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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