Individual
MS. ARDRENA RENE' THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
550 S VERMONT AVE FL 10, LOS ANGELES, CA 90020-1912
(661) 723-4276
(661) 723-6795
Mailing address
37517 TACOMA CT, PALMDALE, CA 93552-4301
(661) 723-4276
(661) 723-6795
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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