Individual
ASIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19200 DEQUINDRE ST, DETROIT, MI 48234-1279
(313) 300-4970
Mailing address
19200 DEQUINDRE ST, DETROIT, MI 48234-1279
(313) 300-4970
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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