Individual
DANEISHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1552
(860) 793-4448
Mailing address
40 ARROWBROOK RD, WINDSOR, CT 06095-3924
(860) 967-9783
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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