Individual
BRIDGET THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2296 COUNTRY DR, FREMONT, CA 94536-5315
(510) 608-3733
Mailing address
2296 COUNTRY DR, FREMONT, CA 94536-5315
(510) 608-3733
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
188239
CA
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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