Individual
MR. GLENN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12619 LERWICK PL, CHESTERFIELD, VA 23838-5546
(804) 350-1001
(510) 323-8161
Mailing address
12619 LERWICK PL, CHESTERFIELD, VA 23838-5546
(804) 350-1001
(510) 323-8161
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T65437321
VA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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