Individual
MRS. DOMINIQUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 226-5622
Mailing address
2604 MARIETTA ST, STEILACOOM, WA 98388-2852
(931) 338-3631
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
154729
TN
Other
Enumeration date
01/13/2017
Last updated
01/23/2025
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