ANGELINA MARIE THOMAS

DECATUR, IL
NPI1861028193
Former NameANGELINA MARIE TAYLOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  020955)
Enumeration Date2020-03-18
Last Update Date2020-03-18
Business Address
ANGELINA MARIE THOMAS CRNA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 314-876-2585
Mailing Address
ANGELINA MARIE THOMAS CRNA
2652 TWIN OAKS CT APT 52
DECATUR, IL 62526-5837
Phone number: 314-323-6646