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Individual

VANESSA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3731 NE 217TH CT, WILLISTON, FL 32696-7048
(352) 528-3362
(352) 528-0180
Mailing address
3731 NE 217TH CT, WILLISTON, FL 32696-7048
(352) 528-3362
(352) 528-0180

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
6906181
FL
311ZA0620X
Adult Care Home Facility
Primary
6906181
FL

Other

Enumeration date
11/07/2013
Last updated
10/16/2025
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