Individual
REBECCA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
45741 GRACE LAKE RD, SANDSTONE, MN 55072-3203
(320) 384-0149
(320) 384-0163
Mailing address
45741 GRACE LAKE RD, SANDSTONE, MN 55072-3203
(320) 384-0149
(320) 384-0163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 058541-5
MN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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