Individual
SHANTWON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 E BROADWAY ST, TOLEDO, OH 43605-2152
(419) 215-8722
Mailing address
193 E BROADWAY ST, TOLEDO, OH 43605-2152
(419) 770-0779
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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