| NPI | 1891173324 |
|---|---|
| Former Name | REGINA D THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN232977) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 431983029) |
| 347C00000X Private Vehicle (Licence: GA 431983029) | |
| 1744P3200X Specialist Prosthetics Case Management (Licence: GA 431983029) | |
| 1744P3200X Specialist Prosthetics Case Management (Licence: OH 431983029) | |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2016-10-07 |