Individual
MRS. CONSTANCE M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC WHNP
Contact information
Practice address
PO BOX N, 107 INDUSTRIAL DRIVE, PARK HILLS, MO 63601-0358
(573) 431-5191
Mailing address
2016 KNOB LICK RD, FARMINGTON, MO 63640-7522
(573) 756-5610
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
059262
MO
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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