Individual
LOLETHIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 JUNE CREST CT, BYRON, GA 31008-6092
(478) 319-9453
Mailing address
106 JUNE CREST CT, BYRON, GA 31008-6092
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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