Individual
MELISSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15161 SW 46TH ST, MIRAMAR, FL 33027-3636
(954) 394-0102
Mailing address
15161 SW 46TH ST, MIRAMAR, FL 33027-3636
(954) 394-0102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5201100
FL
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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