Individual
EVELINA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3948 39TH ST E, NITRO, WV 25143-1318
(417) 379-4108
Mailing address
3948 39TH ST E, NITRO, WV 25143-1318
(417) 379-4108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47372
WV
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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