Individual
KAREN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10385 E HIGHWAY 92, HEREFORD, AZ 85615-8370
(520) 366-6204
Mailing address
4928 S RICARDO RD, SIERRA VISTA, AZ 85650-9169
(520) 234-3646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044437
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560541
—
AZ
Enumeration date
08/22/2014
Last updated
08/22/2014
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