Individual
BRENT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1212 OAKLAND RD SPC 80, SAN JOSE, CA 95112-1309
(650) 733-9589
Mailing address
1212 OAKLAND RD SPC 80, SAN JOSE, CA 95112-1309
(650) 733-9589
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
798653
CA
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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