Individual
MS. PHYLICIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1545 WIGWAM PKWY APT 922, HENDERSON, NV 89074-8274
(708) 261-6627
Mailing address
1545 WIGWAM PKWY APT 922, HENDERSON, NV 89074-8274
(708) 261-6627
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
814715
NV
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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