Individual
MS. TRISTA LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
4501 UPPER MOUNT VERNON RD, EVANSVILLE, IN 47712-6421
(812) 421-8555
(812) 402-2139
Mailing address
3328 KUEBLER RD, EVANSVILLE, IN 47720-7412
(812) 963-8335
(812) 402-2139
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
066064
IN
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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