Individual
SHANTOYA N THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4331 W BELL RD, GLENDALE, AZ 85308-3529
(602) 380-9146
Mailing address
PO BOX 2632, LITCHFIELD PARK, AZ 85340-2632
(602) 380-9146
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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