Individual
TANYA MICHELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3260 RIVER PLACE DR N, MANDAN, ND 58554-8225
(701) 400-3517
Mailing address
3260 RIVER PLACE DR N, MANDAN, ND 58554-8225
(701) 400-3517
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1477973
ND
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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