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Individual

GLENDA MAE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11235 OAK LEAF DR, SILVER SPRING, MD 20901-1318
(301) 593-5261
Mailing address
11235 OAK LEAF DR APT 602, SILVER SPRING, MD 20901-1333

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70193378
MD
Enumeration date
08/08/2018
Last updated
08/08/2018
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