Individual
JANETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 AUTUMN DAMASK CT, OCOEE, FL 34761-9174
(407) 296-7838
Mailing address
475 AUTUMN DAMASK CT, OCOEE, FL 34761-9174
(407) 296-7838
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
100072540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230578000
—
FL
Enumeration date
12/26/2018
Last updated
12/26/2018
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