Individual
MRS. CHARVELLE L ELLIS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 E LEHIGH DR, DELTONA, FL 32738-7733
(386) 259-4985
(386) 259-4987
Mailing address
880 E LEHIGH DR, DELTONA, FL 32738-7733
(386) 259-4985
(386) 259-4987
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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