KELDRECA SHUNTAE THOMAS

SNELLVILLE, GA
NPI1447797600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA  RN230389)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: GA  RN230389)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NM  55952)
Enumeration Date2017-01-26
Last Update Date2024-01-17
Business Address
KELDRECA SHUNTAE THOMAS FNP
1700 MEDICAL WAY
SNELLVILLE, GA 30078-2195
Phone number: 478-464-8134
Mailing Address
KELDRECA SHUNTAE THOMAS FNP
901 W ALAMEDA ST STE 25
SANTA FE, NM 87501-1673
Phone number: 505-988-8869