Organization
VENESALUD PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA W THOMAS DNP, FNP-C (OWNER)
(703) 344-2004
Entity
Organization
Contact information
Practice address
611 S CARLIN SPRINGS RD STE 412, ARLINGTON, VA 22204-1087
(703) 344-2004
Mailing address
5504 SANDY FOLLY CT, FAIRFAX STATION, VA 22039-1032
(757) 771-5444
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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