Individual
TERRAINIE L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED DOULA
Contact information
Practice address
3906 CONNECTICUT AVE, ORANGE PARK, FL 32065-5641
(904) 290-3936
Mailing address
3906 CONNECTICUT AVE, ORANGE PARK, FL 32065-5641
(904) 290-3936
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T523812779230
CERTIFIED DOULA
FL
Enumeration date
03/10/2022
Last updated
03/10/2022
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