NPI 1255168407

Cory Lamont Thomas

Practitioner Driver Tacoma, WA

Practice location

Address: 810 E 61st St, Tacoma, WA 98404-2313
Phone: (253) 882-9281

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1255168407
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2024
Record last updated: 19 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.