Individual
CAROL JO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21112 CREEK SIDE DR SW, WESTERNPORT, MD 21562-2001
(301) 268-6409
Mailing address
21112 CREEK SIDE DR SW, WESTERNPORT, MD 21562-2001
(301) 268-6409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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