Individual
VANESSA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3151 NW 4TH ST, LAUDERHILL, FL 33311-8413
(954) 630-5653
Mailing address
3151 NW 4TH ST, LAUDERHILL, FL 33311-8413
(954) 630-5653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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