Provider Demographics
NPI:1679351530
Name:THOMPSON, ALEATHIA C
Entity Type:Individual
Prefix:
First Name:ALEATHIA
Middle Name:C
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106 GIDDINGS DR
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-2609
Mailing Address - Country:US
Mailing Address - Phone:301-433-1203
Mailing Address - Fax:
Practice Address - Street 1:1801 CLYDESDALE PL NW APT 316
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6041
Practice Address - Country:US
Practice Address - Phone:202-790-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant