Individual
THERESA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
2920 W BROAD ST, SUITE 218, RICHMOND, VA 23230-5103
(919) 306-6377
Mailing address
108 SALIX ST, CHAPEL HILL, NC 27516-4667
(919) 306-6377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131179
NC
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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