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MS. BRENDA VENITA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1515 W NORTH AVE, BALTIMORE, MD 21217-1735
(410) 396-0185
Mailing address
8 HEDGES PATH CT, BALTIMORE, MD 21244-8084
(210) 298-6405

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R038476
MD

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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