Individual
ROSELINE OLA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 HANNON ST, TAKOMA PARK, MD 20912-7005
(301) 526-0876
Mailing address
1505 HANNON ST, TAKOMA PARK, MD 20912-7005
(301) 526-0876
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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