Individual
MS. EDWINA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT
Contact information
Practice address
604 W 4TH ST, SAN BERNARDINO, CA 92410-3216
(909) 746-9148
Mailing address
85 HORIZON AVE UNIT C, REDLANDS, CA 92374-2345
(909) 808-5359
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-YPIKXG
CA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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