Individual
DEIDRE ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1686 WINCHESTER ST, ALLIANCE, OH 44601-4564
(330) 581-8171
(330) 680-8927
Mailing address
1686 WINCHESTER ST, ALLIANCE, OH 44601-4564
(330) 581-8171
(330) 680-8927
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241094
—
OH
Enumeration date
01/08/2018
Last updated
01/08/2018
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