Individual
EILEEN THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
Mailing address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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