Individual
MARIA JEANNETTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 622-1420
(209) 491-0627
Mailing address
1600 GALVEZ AVE, MODESTO, CA 95355-2516
(209) 303-8465
(209) 491-0627
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-UHWQSX
CA
Other
Enumeration date
03/28/2012
Last updated
10/17/2024
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