Individual
MARY K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
715B WELDON ST, NEW IBERIA, LA 70560-4861
(337) 373-0021
Mailing address
715B WELDON ST, NEW IBERIA, LA 70560-4861
(337) 373-0021
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN040612
LA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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