Individual
CHERYL ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8122 HAYES ST, COOPERSVILLE, MI 49404-9712
(616) 997-9692
Mailing address
8122 HAYES ST, COOPERSVILLE, MI 49404-9712
(616) 997-9692
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703086304
MI
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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