Individual
DANITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 727-3142
Mailing address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 727-3142
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4704241360
MI
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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