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Individual

MS. BRENDA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1510 WATERS PL, ROOM 315, BRONX, NY 10461-2700
(347) 493-8588
(718) 931-1432
Mailing address
1510 WATERS PL, ROOM 315, BRONX, NY 10461-2700
(347) 493-8588
(718) 931-1432

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
294708-1
NY

Other

Enumeration date
01/30/2012
Last updated
01/30/2012
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