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Mildred Thomas

NPI 1710574280 · on the registry since 2020 · sole proprietor

Practice

Address
4658 Boudinot St Lowr Level
Philadelphia, PA 19120
Phone
(215) 313-0320
Fax
(215) 324-1903

Registry record

Primary taxonomy
224900000X
224900000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-27

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 Pennsylvania