Individual
TINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19742 MACARTHUR BLVD STE 101, IRVINE, CA 92612-2447
(949) 955-0202
(949) 955-0203
Mailing address
19742 MACARTHUR BLVD STE 101, IRVINE, CA 92612-2447
(949) 955-0202
(949) 955-0203
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95002076
CA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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