Individual
JUANI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 N DAVIDSON ST, SUITE E, CHARLOTTE, NC 28202-2565
(202) 560-1961
Mailing address
709 N DAVIDSON ST, SUITE E, CHARLOTTE, NC 28202-2565
(202) 560-1961
(202) 552-3380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
01/15/2014
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