Individual
ANTONIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11639 W FLORISSANT AVE STE A, FLORISSANT, MO 63033-6711
(636) 485-3915
Mailing address
3209 MAYBELLE DR, SAINT LOUIS, MO 63121-4119
(636) 463-0283
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
67789IJIIOIO
MO
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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