Individual
GEORGIANA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
13012 S WILKIE AVE, GARDENA, CA 90249-1533
(310) 648-4490
Mailing address
13012 S WILKIE AVE, GARDENA, CA 90249-1533
(310) 648-4490
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
752364
CA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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