Individual
KELLY MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4877 MISSION STREET, SAN FRANCISCO, CA 94112
(415) 203-9972
Mailing address
490 CONNECTICUT STREET, APT 5, SAN FRANCISCO, CA 94107
(415) 203-9972
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
NP21088
CA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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