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Individual

ANNAMMA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6914 225TH ST, OAKLAND GARDENS, NY 11364-3030
(718) 224-7077
Mailing address
6914 225TH ST, OAKLAND GARDENS, NY 11364-3030
(718) 224-7077

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
247360
NY

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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