Individual
MR. TOMMY LEE THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-5120
Mailing address
97 CONGRESS ST, BANGOR, ME 04401-3901
(941) 626-5623
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN82926
ME
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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