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Individual

MONIQUE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4671 COUNTRY LN, APT 206, CLEVELAND, OH 44128-5858
(216) 392-7370
Mailing address
4671 COUNTRY LN, APT 206, CLEVELAND, OH 44128-5858
(216) 392-7370

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Enumeration date
02/08/2015
Last updated
02/08/2015
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