Individual
MIRANDA LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 228, HAGERSTOWN, MD 21742-6727
(301) 733-0022
Mailing address
14028 SENECA RIDGE DR, HAGERSTOWN, MD 21740-1685
(301) 714-0180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R154584
MD
Other
Enumeration date
01/25/2019
Last updated
02/12/2020
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