Individual
BERNADETTE WATTA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMMUNITY SUPPORT
Contact information
Practice address
13304 ARDEN WAY APT 3, LAUREL, MD 20708-1542
(240) 444-7442
Mailing address
13304 ARDEN WAY APT 3, LAUREL, MD 20708-1542
(240) 444-7442
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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