Individual
ANN THEOLANDA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 SNOWMASS CT, VIRGINIA BEACH, VA 23464-7439
(704) 488-0802
Mailing address
1217 NAUTICUS CIR APT 106, VIRGINIA BEACH, VA 23454-5467
(704) 488-0802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71422
NC
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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