Individual
ANNAMMA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA PARENT CHILD NURS
Contact information
Practice address
1516 E TROPICANA AVE, SUITE 245, LAS VEGAS, NV 89119-6525
(702) 339-7697
Mailing address
1905 COCHRAN ST, LAS VEGAS, NV 89104-3538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN07059
NV
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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