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Individual

SANDRA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5072 WYNNEFIELD AVE, PHILADELPHIA, PA 19131-2343
(267) 277-3020
Mailing address
5072 WYNNEFIELD AVE, PHILADELPHIA, PA 19131-2343

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
376J00000X
Homemaker
385H00000X
Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
12/07/2024
Last updated
01/27/2025
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