Individual
REGINA RENEE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16940 HIGHWAY 14 STE C-J, MOJAVE, CA 93501-1238
(661) 824-5020
(661) 824-5026
Mailing address
16940 HIGHWAY 14 STE C-J, MOJAVE, CA 93501-1238
(661) 824-5020
(661) 824-5026
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
05/22/2020
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