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Chanelle Thom
NPI 1659255743 · on the registry since 2025 · sole proprietor
Practice
- Address
- 19 Lyons Ave Apt 412
Newark, NJ 07112 - Phone
- (551) 804-6976
- Organisation at this address
- Carevantage Healthcare Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-02
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 New Jersey