Individual
TARISHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 AVALON LN, ANNISTON, AL 36207-8077
(256) 310-0046
Mailing address
975 AVALON LN, ANNISTON, AL 36207-8077
(256) 310-0046
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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