Individual
KECIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4326 US HIGHWAY 1, MONMOUTH JUNCTION, NJ 08852-1906
(800) 969-5300
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05532800
NJ
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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