Individual
MARY LYNETTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4818 STARKEY RD, ROANOKE, VA 24018-8510
(540) 989-8000
Mailing address
4818 STARKEY RD, ROANOKE, VA 24018-8510
(540) 989-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024110139
VA
Other
Enumeration date
08/10/2005
Last updated
06/17/2009
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