Individual
CORAL MAY THOMAS-PROKASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2810 145TH ST W APT 213, ROSEMOUNT, MN 55068-4992
(612) 357-2166
Mailing address
2810 145TH ST W APT 213, ROSEMOUNT, MN 55068-4992
(612) 357-2166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
819590
MN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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