Individual
JENNIFER THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1835 BAIRD RD, PENFIELD, NY 14526-1045
(585) 727-2953
Mailing address
1835 BAIRD RD, PENFIELD, NY 14526-1045
(585) 727-2953
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
727795
NY
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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