Individual
JAINAMMA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 CADE CT, MESQUITE, TX 75149-7621
(972) 841-2596
Mailing address
1409 CADE CT, MESQUITE, TX 75149-7621
(972) 841-2596
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
23130394
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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