Individual
LERLENA JEANNETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4613 CHESTER SQUARE RD, CHESTER, VA 23831-1726
(804) 617-3159
Mailing address
11430 BRANT HOLLOW CT, CHESTERFIELD, VA 23838-8961
(804) 617-3159
(804) 318-1352
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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