Individual
MRS. YVONNE NYAMBURA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
588 LONGMEADOW ST, LONGMEADOW, MA 01106-2212
(413) 459-6626
Mailing address
588 LONGMEADOW ST, LONGMEADOW, MA 01106-2212
(413) 459-6626
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
PA100014
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2022
Last updated
10/03/2023
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