Individual
MISS RANDI THERESA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 WALTON WAY SE, SMYRNA, GA 30082-3870
(678) 849-6695
Mailing address
905 WALTON WAY SE, SMYRNA, GA 30082-3870
(678) 849-6695
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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