Individual
DETRA S THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 BACON AVE, AKRON, OH 44320-2157
(330) 410-0600
Mailing address
497 BACON AVE, AKRON, OH 44320-2157
(330) 410-0600
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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