Individual
MARK DAVID THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MS, PNP
Contact information
Practice address
1534 CLAY ST APT 5, SAN FRANCISCO, CA 94109-3848
(918) 557-0039
Mailing address
1534 CLAY ST APT 5, SAN FRANCISCO, CA 94109-3848
(918) 557-0039
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000964
CA
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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