Provider Demographics
NPI:1548729841
Name:THOMPSON, RUMONDA (LPN)
Entity type:Individual
Prefix:MRS
First Name:RUMONDA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 GAITHER ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1316
Mailing Address - Country:US
Mailing Address - Phone:202-560-4577
Mailing Address - Fax:
Practice Address - Street 1:2607 GAITHER ST
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1316
Practice Address - Country:US
Practice Address - Phone:202-560-4577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-16
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health