Individual
MARQUITA RENEE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4423 WEISSER PARK AVE, FORT WAYNE, IN 46806-4734
(260) 210-4775
Mailing address
4423 WEISSER PARK AVE, FORT WAYNE, IN 46806-4734
(260) 210-4775
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2405059
IN
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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