Individual
SHAURNTAE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8462 SUMTER CIR N, BROOKLYN PARK, MN 55445-2144
(763) 777-5346
Mailing address
8462 SUMTER CIR N, BROOKLYN PARK, MN 55445-2144
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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