Individual
MRS. ANGELA MASOLINE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13633 SAND BLUFF LN, GRAND ISLAND, FL 32735-8951
(352) 255-6458
Mailing address
13633 SAND BLUFF LN, GRAND ISLAND, FL 32735-8951
(352) 255-6458
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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