Individual
CARL EDWARD THOMAS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 APRIL LN, PITTSFIELD, MA 01201-4457
(413) 204-1496
Mailing address
68 PEASE AVE, DALTON, MA 01226-1331
(413) 347-1565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN57219
MA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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