Individual
ANNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20375 ICEFALL DR, EAGLE RIVER, AK 99577-8874
(240) 386-9424
Mailing address
20375 ICEFALL DR, EAGLE RIVER, AK 99577-8874
(240) 386-9424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R188884
MD
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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