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Individual

DR. SHERIDA LESLIE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7801 OLD BRANCH AVE, STE 300, CLINTON, MD 20735-1608
(301) 856-6718
(301) 856-6722
Mailing address
8926 WOODYARD RD, STE 301, CLINTON, MD 20735-4220
(301) 856-3670
(301) 856-0129

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101040481
VA
174400000X
Specialist
Primary
D0034670
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912972787
VA
05
809940501
MD
Enumeration date
02/23/2006
Last updated
03/13/2009
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