Individual
MRS. ADELLA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 FAIRVIEW DR, BASTROP, LA 71220-3211
(318) 953-2841
Mailing address
1622 PERRY AVE, BASTROP, LA 71220-4215
(318) 953-2841
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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