Individual
FELICIA R THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7629 VALLEY GREEN DR UNIT 101, LAS VEGAS, NV 89149-0350
(702) 812-5567
Mailing address
5124 PAINTED WOODS CT, NORTH LAS VEGAS, NV 89081-2306
(269) 830-4458
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066071610
DRIVERS LICENSR
NV
01
—
1606071610
DRIVERS LICENSE
NV
Enumeration date
12/31/2021
Last updated
12/31/2021
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