Individual
JERRY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 STAUNTON ST, PIQUA, OH 45356-4047
(937) 418-4344
Mailing address
301 STAUNTON ST, PIQUA, OH 45356-4047
(937) 418-4344
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004724
—
OH
Enumeration date
12/08/2022
Last updated
12/08/2022
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