Individual
DENISE M THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 9TH ST, SUITE B, MODESTO, CA 95350-5814
(209) 341-1824
(209) 523-1296
Mailing address
904 BOWEN AVE, MODESTO, CA 95350-3049
(209) 409-1779
(209) 543-1296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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