Individual
KATIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7 TIFFANY RD, BOURNE, MA 02532-8309
(508) 524-6730
Mailing address
7 TIFFANY RD, BOURNE, MA 02532-8309
(508) 524-6730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95233
MA
Other
Enumeration date
03/23/2023
Last updated
03/27/2023
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