Individual
ELVIRA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23664 CARDINAL COVE, MANDEVILLE, LA 70448
(985) 624-4121
(985) 624-4123
Mailing address
PO BOX 1225, MANDEVILLE, LA 70470-1225
(985) 624-4121
(985) 624-4123
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN055768
LA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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