Individual
MISS BEVERLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11001 VALLEY MALL, SUITE 300, EL MONTE, CA 91731-2620
(626) 442-0710
Mailing address
5200 S BROADWAY, APT. 210, LOS ANGELES, CA 90037-3853
(323) 231-6614
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN855
LOS ANGELES COUNTY DMH
CA
Enumeration date
07/13/2009
Last updated
07/13/2009
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