Individual
JANINE RUNYON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 WOODROW WILSON AVE, FISHERSVILLE, VA 22939-3407
(540) 245-5040
Mailing address
127 WOODROW WILSON AVE, FISHERSVILLE, VA 22939-3407
(540) 245-5040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004904
VA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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