Individual
CAMILLE LOIS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 SANTORO ST, WATERBURY, CT 06704
(516) 318-3921
Mailing address
64 SANTORO ST, WATERBURY, CT 06704-2742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
242423
NY
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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