Individual
RENETTA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 BURRAGE RD, NORFOLK, VA 23503-4736
(757) 998-3209
Mailing address
166 BURRAGE RD, NORFOLK, VA 23503-4736
(757) 998-3209
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
925888
VA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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