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Individual

MR. THOMAS CHARLES EHMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12440 N 20TH ST APT 206, PHOENIX, AZ 85022-5888
(602) 369-7444
Mailing address
12440 N 20TH ST APT 206, PHOENIX, AZ 85022-5888
(602) 369-7444

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
B11092322
AZ
347C00000X
Private Vehicle
B11092322
AZ
385H00000X
Respite Care
Primary
385HR2055X
Child Mental Illness Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
09/20/2024
Last updated
09/20/2024
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