Individual
CARLY J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(833) 574-2273
Mailing address
339 POPLAR ST, LAGUNA BEACH, CA 92651-1726
(612) 508-0971
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
236408
CA
363LW0102X
Women's Health Nurse Practitioner
95027632
CA
Other
Enumeration date
10/24/2023
Last updated
05/07/2024
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