Individual
JEANINE SUSAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CARE COORDINATOR
Contact information
Practice address
43961 K BEACH RD, SOLDOTNA, AK 99669-8276
(907) 260-1176
(907) 260-1177
Mailing address
PO BOX 2294, SOLDOTNA, AK 99669-2294
(907) 260-1176
(907) 260-1177
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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