Individual
CAROL ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4700
Mailing address
7243 COUNTY ROUTE 12, SAVONA, NY 14879-9793
(607) 346-1372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294729-1
NY
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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