Individual
TANYA ANNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 DARRELL ST, GILLETTE, WY 82718-8377
(641) 750-4055
Mailing address
4904 DARRELL ST, GILLETTE, WY 82718-8377
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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