Individual
ADELE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
4050 S US HIGHWAY 1 STE 317, JUPITER, FL 33477-1123
(561) 406-3338
Mailing address
2525 MILITARY TRL STE 109, JUPITER, FL 33458-7883
(561) 406-3338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CL1244051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15127733
CAQH PROVIDER
FL
Enumeration date
10/04/2023
Last updated
10/04/2023
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