Individual
DESTINY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20611 EUCLID AVE, EUCLID, OH 44117-1521
(330) 203-4029
Mailing address
20611 EUCLID AVE, EUCLID, OH 44117-1521
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
493691
OH
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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