Individual
ZANDRA DIANE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 N 53RD ST, MILWAUKEE, WI 53216-3245
(414) 690-1772
Mailing address
3109 N 53RD ST, MILWAUKEE, WI 53216-3245
(414) 690-1772
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
WI
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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