DWAN SAMUEL THOMAS

OCALA, FL
NPI1942952536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-01-25
Last Update Date2022-01-25
Business Address
Mr. DWAN SAMUEL THOMAS Medicaid Provider
2 REDWOOD TRCE
OCALA, FL 34472-6297
Phone number: 352-433-8457
Mailing Address
Mr. DWAN SAMUEL THOMAS Medicaid Provider
485 NW 45TH LN
OCALA, FL 34475-9546
Phone number: 352-433-8457