Individual
ELIZABETH MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 W GARFIELD AVE, MILWAUKEE, WI 53208-1343
(414) 712-5770
Mailing address
3721 W GARFIELD AVE, MILWAUKEE, WI 53208-1343
(414) 712-5770
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
T5202337672209
WI
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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