Individual
MRS. PREMILA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5400 ALDRIN CT, BAKERSFIELD, CA 93313-2103
(661) 489-5999
(661) 489-5991
Mailing address
8929 PANAMA RD STE B, LAMONT, CA 93241-1647
(661) 489-5999
(661) 489-5991
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
714074
CA
207Q00000X
Family Medicine Physician
95006329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95006329
FAMILY NURSE PRACTITIONER
CA
Enumeration date
09/07/2016
Last updated
07/21/2022
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