Individual
CHERITA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8312 AVENUE J, BROOKLYN, NY 11236-3820
(347) 612-9722
Mailing address
8312 AVENUE J, BROOKLYN, NY 11236-3820
(347) 612-9722
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
323123
NY
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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