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Individual

JENNIFER M THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
6050 N MARKS AVE APT 126, FRESNO, CA 93711-1640
(850) 696-8747

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5193233
FL

Other

Enumeration date
01/07/2019
Last updated
01/07/2019
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