Individual
ALEXANDRA MORAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(432) 528-1676
Mailing address
303 E LASALLE AVE APT 212B, SOUTH BEND, IN 46617-2754
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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