Individual
ALICIA NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8795 KAYE LN, JACKSONVILLE, FL 32244-4189
(904) 456-7413
Mailing address
8795 KAYE LN, JACKSONVILLE, FL 32244-4189
(904) 456-7413
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
FL
376K00000X
Nurse's Aide
Primary
453120
FL
Other
Enumeration date
08/21/2023
Last updated
09/20/2024
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