Individual
MRS. JACQUELINE J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATOL
Contact information
Practice address
AVE. LAUREL, LOMAS VERDES, HOSPITAL REGIONAL, BAYAMON, PR 00956
(787) 780-6090
Mailing address
HC 2 BOX 9178, COROZAL, PR 00783-6138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
377
PR
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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