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Individual

MS. ANDREA O THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1137 E 14TH ST, WILMINGTON, DE 19802-5211
(302) 507-9212
Mailing address
1137 E 14TH ST, WILMINGTON, DE 19802-5211
(302) 507-9212

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0009882
DE
164W00000X
Licensed Practical Nurse
PN279336
PA
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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