Individual
LOUICE THACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
8015 ELM PL, DUNN LORING, VA 22027-1121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001332799
VA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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