Individual
MS. CLAUDIA RADAKER THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 MYLO DR, CHINO VALLEY, AZ 86323-6070
(928) 420-4850
Mailing address
915 MYLO DR, CHINO VALLEY, AZ 86323-6070
(928) 420-4850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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