Individual
ELISE NICOLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
8253 MOUNT CARMEL ST, DAYTON, OH 45424-6902
(937) 520-1875
Mailing address
8253 MOUNT CARMEL ST, DAYTON, OH 45424-6902
(937) 520-1875
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5718650
—
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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