Individual
MRS. ADELA CRISTINA THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
685 MORRO AVE STE C, MORRO BAY, CA 93442-2233
(805) 772-7313
(805) 772-0395
Mailing address
685 MORRO AVE STE C, MORRO BAY, CA 93442-2233
(805) 772-7313
(805) 772-0395
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
335217
CA
363LF0000X
Family Nurse Practitioner
Primary
95023015
CA
Other
Enumeration date
10/17/2022
Last updated
11/27/2023
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