Individual
KORI BLAIR THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 WILMINGTON W CHESTER PIKE STE 200, CHADDS FORD, PA 19317-9011
(610) 990-2373
Mailing address
344 W 15TH ST, CHESTER, PA 19013-5316
(484) 714-4514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN305328
PA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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