Individual
PATRICIA ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MARVIN ST APT 13, SUPERIOR, NE 68978-1944
(402) 902-0355
Mailing address
415 MARVIN ST APT 13, SUPERIOR, NE 68978-1944
(402) 902-0355
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
3447
NE
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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