Individual
MRS. JUDITH THOMPSON GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.D.,R.N.,B.S.N,MSN,
Contact information
Practice address
8525 ROLLING RD, SUITE 222, MANASSAS, VA 20110-3647
(703) 335-0720
(703) 335-0750
Mailing address
8525 ROLLING RD, SUITE 222, MANASSAS, VA 20110-3647
(703) 334-0720
(703) 334-0750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024047673
VA
Other
Enumeration date
06/28/2005
Last updated
03/02/2010
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