Individual
JUANITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1147 6TH ST NE, WASHINGTON, DC 20002-3444
(202) 547-5878
Mailing address
1147 6TH ST NE, WASHINGTON, DC 20002-3444
(202) 547-5878
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2679633
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2679633
—
DC
Enumeration date
07/01/2014
Last updated
07/01/2014
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