Individual
MRS. MELISSA KAY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N HARRIS DRIVE, FORT RUCKER, AL 36362
(785) 375-4491
Mailing address
200 N HARRIS DRIVE, FORT RUCKER, AL 36362
(785) 375-4491
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1324105
TX
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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