Individual
CHERESSA Y THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
246RP1900X
Phlebotomy Technician
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
247000000X
Health Information Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
07/31/2012
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