Individual
MISS REGINA MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
817 W VLIET ST APT 594, MILWAUKEE, WI 53205-2551
(414) 477-7842
Mailing address
817 W VLIET ST APT 594, MILWAUKEE, WI 53205-2551
(414) 477-7842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
189507-30
WI
Other
Enumeration date
02/11/2011
Last updated
07/30/2012
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