Individual
REENA ELSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4745 OGLETOWN STANTON RD STE 116, NEWARK, DE 19713
(804) 495-5842
Mailing address
10405 FLAT BRANCH DR, RICHMOND, VA 23233-5829
(804) 495-5842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0013178
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2016
Last updated
06/27/2019
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