Individual
DWAYNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 ELM ST NE, ALBUQUERQUE, NM 87102-3672
(505) 842-5550
Mailing address
4604 SAM BRATTON AVE NW, ALBUQUERQUE, NM 87114-5333
(909) 800-5035
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
27045
CA
227900000X
Registered Respiratory Therapist
Primary
3089
NM
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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