Individual
JESSICA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 POINT BREEZE PL, FAR ROCKAWAY, NY 11691-1628
(718) 868-0214
Mailing address
1520 POINT BREEZE PL, FAR ROCKAWAY, NY 11691-1628
(718) 868-0214
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
4674711
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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