| NPI | 1497468714 |
|---|---|
| Professional Name | POR'SHAY QUINCOLA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-09-11 |