Individual
DEANNA LYNELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED & MBA
Contact information
Practice address
1770 BONITA CT, KERNERSVILLE, NC 27284-9960
(336) 564-8957
Mailing address
1770 BONITA CT, KERNERSVILLE, NC 27284-9960
(336) 564-8957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
617965
NC
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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