Individual
NICHOLAS THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0770
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
WA
208D00000X
General Practice Physician
Primary
0102208911
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
02/21/2023
Last updated
10/08/2024
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