Individual
OCTAVIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
Mailing address
6306 MALLOY RD, FERNDALE, WA 98248-9355
(360) 936-2578
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
02/26/2024
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