Individual
COURTNEY J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4317 GLEANE ST FL 3, ELMHURST, NY 11373-2750
(321) 704-7382
Mailing address
PO BOX 137, NEW YORK, NY 10039-0160
(321) 704-7382
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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