SearchMichigan374J00000X

Gwendolyn Thomas

NPI 1114627866 · on the registry since 2023 · sole proprietor

Practice

Address
19716 Parker St
Livonia, MI 48152
Phone
(734) 620-4880

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan