Individual
ANA LYNN THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 BIG HORN BLVD, ELK GROVE, CA 95758-1240
(916) 478-5786
Mailing address
8010 COBBLE CT, GRANITE BAY, CA 95746-9024
(909) 718-9873
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
574907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
574907
REGISTERED NURSE
CA
Enumeration date
10/25/2022
Last updated
10/25/2022
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