Individual
GWENDOLYN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6023 NW 22ND AVE, MIAMI, FL 33142-7805
(786) 486-2895
Mailing address
6023 NW 22ND AVE, MIAMI, FL 33142-7805
(786) 486-2895
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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