Individual
CHARNITA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5610 BUNCOMBE RD APT 504, SHREVEPORT, LA 71129
(318) 562-8135
Mailing address
5610 BUNCOMBE RD APT 504, SHREVEPORT, LA 71129-2692
(318) 562-8135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
11/29/2018
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