Individual
GEANNA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 E PALMDALE BLVD, SUITE G, PALMDALE, CA 93550-4881
(661) 947-1595
Mailing address
38002 15TH ST E, APT. 228, PALMDALE, CA 93550-5171
(661) 492-7081
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/03/2012
Last updated
06/08/2023
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