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Individual

JANALEA KRISTIN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9776 BONITA BEACH RD SE, SUITE 102, BONITA SPRINGS, FL 34135-4773
(239) 949-1777
(239) 498-3777
Mailing address
PO BOX 166321, MIAMI, FL 33116-6321
(239) 949-1777
(239) 498-3777

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3342
FL

Other

Enumeration date
08/24/2009
Last updated
08/06/2010
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