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Individual

GLENDA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP-FNP

Contact information

Practice address
2826 OLD LEE HWY STE 250, FAIRFAX, VA 22031
(703) 854-1298
(703) 854-1305
Mailing address
2826 OLD LEE HWY STE 250, FAIRFAX, VA 22031-4348
(703) 854-1298
(703) 854-1305

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174347
VA

Other

Enumeration date
03/01/2017
Last updated
07/30/2019
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