Individual
MRS. MARIA GUADALUPE THOMAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1317 W FOOTHILL BLVD, UPLAND, CA 91786-3676
(909) 981-5882
(909) 373-2828
Mailing address
1317 W FOOTHILL BLVD STE 148, UPLAND, CA 91786-3675
(909) 981-5882
(909) 373-2828
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95016192
CA
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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