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Individual

MS. ANNETTE ANGELA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18520 SATSUMA AVE, PORT CHARLOTTE, FL 33948-7520
(941) 625-8264
(941) 625-8264
Mailing address
18520 SATSUMA AVE, PORT CHARLOTTE, FL 33948-7520
(941) 625-8264
(941) 625-8264

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906610
FL

Other

Enumeration date
05/13/2013
Last updated
09/15/2022
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