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Organization

FHENIX WEIGHT LOSS FOREVER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TISHAMBAY THOMPSON FNP (NP)
(703) 568-3876
Entity
Organization

Contact information

Practice address
6130 LANDOVER RD, CHEVERLY, MD 20785-1022
(202) 715-6624
Mailing address
13885 HEDGEWOOD DR STE 241, WOODBRIDGE, VA 22193-7931
(202) 715-6624
(765) 680-8654

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
02/10/2025
Last updated
08/10/2026
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