Individual
SIDNEY RONALD THOMAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 N CATALINA AVE, TUCSON, AZ 85711-1130
(520) 881-0721
Mailing address
917 N CATALINA AVE, TUCSON, AZ 85711-1130
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALH-6244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315971
AHCCS
AZ
Enumeration date
05/02/2008
Last updated
05/02/2008
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