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Individual

NICOLE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3704 W SIEBENTHALER AVE, DAYTON, OH 45406-1538
(321) 795-0486
Mailing address
3704 W SIEBENTHALER AVE, DAYTON, OH 45406-1538
(321) 795-0486

Taxonomy

Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
171W00000X
Contractor
172A00000X
Driver
174200000X
Meals Provider
225800000X
Recreation Therapist
253Z00000X
In Home Supportive Care Agency
332B00000X
Durable Medical Equipment & Medical Supplies
332U00000X
Home Delivered Meals
335G00000X
Medical Foods Supplier
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
372500000X
Chore Provider
Primary
372600000X
Adult Companion
374U00000X
Home Health Aide

Other

Enumeration date
10/17/2017
Last updated
08/08/2023
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