| NPI | 1063791382 |
|---|---|
| Professional Name | CARMALITA ANN TAYLOR THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 38 382097) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-01-29 |