Individual
EBONY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1296 E GIBSON RD STE A259, WOODLAND, CA 95776-6378
(559) 836-3060
Mailing address
1296 E GIBSON RD STE A259, WOODLAND, CA 95776-6378
(559) 836-3060
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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