Provider Demographics
NPI:1720418254
Name:THOMAS, VALERIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:THOMAS
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 1:18414 POINT LOOKOUT RD
Mailing Address - Street 2:UNIT 5
Mailing Address - City:PARK HALL
Mailing Address - State:MD
Mailing Address - Zip Code:20667-2738
Mailing Address - Country:US
Mailing Address - Phone:301-825-2148
Mailing Address - Fax:
Practice Address - Street 1:18414 POINT LOOKOUT RD
Practice Address - Street 2:UNIT 5
Practice Address - City:PARK HALL
Practice Address - State:MD
Practice Address - Zip Code:20667-2738
Practice Address - Country:US
Practice Address - Phone:301-825-2148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide