Individual
CAMONA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 W HURON ST STE 107, PONTIAC, MI 48341-1601
(248) 724-7600
Mailing address
PO BOX 430150, PONTIAC, MI 48343-0150
(248) 724-7600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084863
MI
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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