Individual
MS. LATRICE YVONNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4909 N 108TH AVE, PHOENIX, AZ 85037-5473
(913) 209-9988
Mailing address
4909 N 108TH AVE, PHOENIX, AZ 85037-5473
(913) 209-9988
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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