Dedra Deneen Thomas CMA, LMP

NPI 1114224011 - Massage Therapist - 225700000X

NPI Details
NPI 1114224011
Gender Female
Enumeration Date 02/12/2011
Last Updated 02/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
9074 ELK GROVE BLVD
SUITE 3
ELK GROVE CA, 95624-2073, US
Phone (916) 689-4043
Fax (916) 682-7273
Business Location
9074 ELK GROVE BLVD
SUITE 3
ELK GROVE CA, 95624-2073, US
Phone (916) 689-4043
Fax (916) 682-7273
Toxanomy
Taxonomy Code 225700000X
License State
License Number
Remove 1114224011 NPI Number
 

According to our database, Dedra Deneen Thomas CMA, LMP NPI is 1114224011, taxonomy code is 225700000X Dedra Deneen Thomas CMA, LMP physically located at 9074 Elk Grove Blvd, Elk Grove CA, 95624-2073. NPI Number Dedra Deneen Thomas CMA, LMP has the Individual type.

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1114224011 NPI number is provided on an as is basis without warranty of any kind. 1114224011 is maintained by the National Plan & Provider Enumeration System. The contents of Dedra Deneen Thomas CMA, LMP are for informational purposes only.