Individual
ANGENETTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 N GILBERT ST, SAN BERNARDINO, CA 92415-0001
(909) 387-7255
Mailing address
755 N GILBERT ST, SAN BERNARDINO, CA 92415-0001
(909) 387-7255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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