Individual
DWIGHT THOMAS PARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTIONER
Contact information
Practice address
19353 VICTORY BLVD, TARZANA, CA 91335-6302
(866) 389-2727
Mailing address
4001 WILSHIRE BLVD, F297, LOS ANGELES, CA 90010-3435
(323) 830-1475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18141
CA
Other
Enumeration date
07/30/2009
Last updated
06/25/2014
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