Individual
BRIAN QUINTEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1809 E FAYETTE ST APT 3G, SYRACUSE, NY 13210-1377
(315) 299-8393
Mailing address
1809 EAST FAYETTE STREET APT. 3G, 315-299-8393, NY 13210
(315) 299-8393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2912491
NY
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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